Please click here for details of the COMPLAINT PROCESS.Please use the online form below to submit a complaint. All fields marked with a * are required. You may also print and mail the form as well by clicking here. Your Name:*Name of Massage Therapist or Establishment (Respondent):*Your Address:*Address:*City:*State:*ZIP:*City:*State:*ZIP:*Telephone*Telephone* Email:*Date of Rendered Services or Visit:*How did you learn about the Respondent?*Please explain the entire circumstances surrounding your complaint including your attempts to solve the problem:*Today's Date:*
