File a Complaint

Report incidents or concerns about a medspa facility or practitioner

Submit Anonymously

Check this box if you wish to remain anonymous. Your contact details are required but will be kept confidential and not disclosed publicly.

Your Contact Information

First Name *

Last Name *

Email Address *

Confirm Email Address *

Phone Number *

Street Address *

City *

State *

ZIP Code

Facility Information

Facility Name *

Business Owner Name

License Number

Facility Address *

City *

State *

ZIP Code

Incident Details

Type of Complaint *

Date of Incident

Detailed Description of Complaint *

Please provide as much detail as possible about the incident or complaint, including what happened, when it occurred, who was involved, and any other relevant information.