Register a Complaint - Therapist or Establishment : Louisiana Board of Massage Therapy

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The LBMT takes its role of public protection seriously; but, can only act within its authority as a regulatory board. If you feel an establishment or a therapist is violating the LMT Practice Act you may file a complaint on our website or with the local authorities. We as a board will not file a complaint with the local law enforcement; but, encourage you to do so if you desire criminal prosecution.

If you would like to file a complaint against a therapist or establishment via mail, please click here to download the form.

If you would like to file a complaint online, please follow the instructions below:

THERAPIST / ESTABLISHMENT INFORMATION

*Therapist / Establishment
Name:

*Phone Number of Individual
or Business:

*Address of Individual
or Business:

Address

City

State

Zip

*Date of Service/
Date Incident(s) Occurred:

*Location where
Incident(s) Occurred:

CUSTOMER / COMPLAINANT CONTACT INFORMATION

*Name:

First

Last

*Phone Number:

*Mailing Address:

Address

City

State

Zip

*E-Mail:

*Contact Preference:

Phone Mail E-Mail

CUSTOMER / COMPLAINANT FEEDBACK

*Comments / Detailed Description of the Incidents(s) that Resulted in this Complaint:

To complete this form, you will be required to enter a digital signature which will be binding as your actual signature. Your electronic signature below indicates your agreement to the following statement: By checking the "I Agree" box below, I certify that all statements and representations contained on this form are true and correct, to the best of my knowledge, and that this information can be used for the purpose of the Louisiana Board of Massage Therapy to review and/or investigate and resolve this matter in accordance with the Board's rules and regulations.

Electronic Signature:
*I Agree.
*Date Signed:

Security Code: