Complaint Procedure
Complete this complaint form and the Authorization for Disclosure of Mental Health Record, providing the Board office with as much information as possible about the complaint.
List any other people who might have information or knowledge about this situation, and include the address and phone number of each.
Sign the form in the presence of a notary public and have it notarized.
Forms must be typed or printed so they are legible or they will be returned to you.
Submit the completed form to:
Board of Psychologist Examiners
2550 Cerrillos Road, Second Floor
Santa Fe, New Mexico 87505
