Member Dispute Form
The Ombuds Committee was formed to provide an accessible and independent mechanism for addressing disputes or complaints respectfully and constructively for the members of NUCCA. With a focus on fairness, equity and resect, the Ombuds Committee, being clearly and visibly independent, builds the capacity to help NUCCA be accountable to its Code of Conduct and Mission Statement.

Have an issue to report? A reporting form will be available to the membership soon, and all submissions will be sent directly to the Chair(s) of the Committee and to no other individuals.

For a full description of the Ombuds Committee work visit their webpage: https://nucca.org/doctors/ombuds-committee/

Please complete the info below.
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Please describe your dispute/complaint below. *
Do you wish for the committee to follow-up with you regarding your dispute? *
Contact Info
If you would like the committee to follow-up with you please provide your contact info below.
Name (first and last)
Email (please double-check)
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