Please rate Ca Board Complaint Rev 07-26
Please provide as much information as possible about your complaint.
Voluntary information: except for the name of the person your complaint is against, all information requested is voluntary.
Investigation: failure to provide this information may delay or prevent the investigation of your complaint.
Supporting documents: attach a copy of any supporting documents you may have in your possession pertaining to your specific complaint.
Complaints: the Medical Board only handles complaints against the listed individuals on the second page, and complaints about unlicensed practice.
Release form: complete the Authorization for Release of Information for the Subject of the Complaint.
| Question | Answer |
|---|---|
| Form Name | Form 07I-61 |
| Form Length | 10 pages |
| Fillable? | Yes |
| Fillable fields | 112 |
| Avg. time to fill out | 19 min |
| Edition | Rev 07/26 |
| Issuing agency | Medical Board of California |
| Matches the agency's file | Yes, checked October 3, 2026 |
| Other names | 07I-61, 07I61, Consumer Complaint Form, Medical Board of California complaint form, California medical board complaint form |
| Official source | Form 07I-61 (Rev 07/26), Medical Board of California |
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Please rate Ca Board Complaint Rev 07-26
