Iowa Board of Medicine Complaint Form for Physicians

Detected March 19th, 2026

Summary

The Iowa Board of Medicine has provided a new online complaint form for consumers to report issues with physicians. The form collects detailed information about the complainant, patient, physician, and the nature of the complaint, and provides instructions for submitting supporting documentation via email.

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What changed

The Iowa Board of Medicine has launched a new online complaint form designed to streamline the process for consumers reporting issues with physicians. The form requires comprehensive details including complainant and patient information, physician identification, clinic/hospital details, dates of care, and a description of the complaint. It also includes questions about prior discussions with the physician, opinions from other medical professionals, and contact with other regulatory bodies or attorneys.

This new form serves as a guidance document for consumers initiating a complaint. While it does not impose new regulatory obligations on physicians, it standardizes the information gathering process for the Board. Regulated entities should be aware that complaints submitted through this form will be investigated by the Board. No specific compliance deadline or penalty information is provided as this is a consumer-facing intake form.

What to do next

Review the new complaint form to understand the information collected by the Iowa Board of Medicine.
Ensure accurate and complete physician and facility information is available in case of a complaint.
Familiarize staff with the process for handling patient inquiries regarding complaints.

Source document (simplified)

DIAL Complaint Form: Board of Medicine

One of the most important ways the department protects consumers is by investigating their complaints against physicians. Please provide the following information so that we can acknowledge receipt of your complaint and contact you should additional information be needed.

Complainant Information

Complainant's Name

First Name Initial Last Name Complainant's Full Address

Street Address City State Zip Your Daytime Phone Number Email

Patient Information

Patient's Name

First Name Initial Last Name Patient's Address

Street Address City State Zip Patient's Daytime Phone Number Patient's Email Patient's Date of Birth

Month Day Year Relationship of Complainant to Patient Description of Relative (ie. sibling, child, parent, etc)

Physician Information

Please provide the following information about the physician(s) who is the subject of your complaint:

Physician 1 (Name)

First Name Initial Last Name Name of Clinic or Hospital where care occurred Approximate date or date range of care Physician 2 Name

First Name Initial Last Name Name of Clinic or Hospital where care occurred Approximate date or date range of care Physician 3 Name

First Name Initial Last Name Name of Clinic or Hospital where care occurred Approximate date or date range of care

Complaint Information

Please describe the complaint, including dates and issues.

Questions About Complaint

Did you discuss the complaint with the physician? Explain what was discussed Did you obtain an opinion from another physician about your complaint? Explain about the opinion from another physician Have you contacted another regulatory agency or an attorney about your complaint? If yes, please explain. Do you have/did you have a personal relationship with the physician? If yes, please explain.

Solve with 2Captcha Having reCaptcha issues? Click here to reset the widget. If you have records or other documentation you wish to submit with your complaint, please email those documents to IBMComplaints@iowa.gov.

Please include your name (complainant name) as well as the physician's name on whom you've filed the complaint.