PDA Complaint Form
Philippine Dental Association
Committee on Ethics and Conduct
Click to view and download: Philippine Dental Association Complaint Forms:
PLEASE FOLLOW INSTRUCTIONS:
• All inquiries below should be answered completely. Type or print in black ink.
• Describe the inquiry/complaint in a CLEAR and CONCISE manner as the basis for the request.
• Additional materials may be submitted if they are necessary to your inquiry / complaint / request.
• Additional testimony can be given at the Validation Interview / Mediation meeting.
• Please SIGN the form and have it authenticated by a notary public.