State of Ohio Board of Pharmacy Complaint Form

Items marked with a * are required.


Is your complaint against a business such as a pharmacy or hospital?*


Is your complaint against a person, such as a pharmacist, pharmacy technician, patient or prescriber?*


Does your complaint involve a specific prescription?*


Does your complaint involve an OARRS report?*


Have you made a complaint to any other government agency, professional association, etc. about this matter?*


In your own words, with as much detail as possible, please state your complaint.*

Were there any other witnesses or other persons who may have additional information about your complaint?*