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Complaint Form
NAME:
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DATE:
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+
Email address
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Are you a Board certified Pharmacist?
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Yes
No
Pharmacy Specialty
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N/A
Ambulatory Care
Cardiology
Critical Care
Geriatric
Infectious Disease
Nuclear
Nutrition Support
Oncology
Pediatrics
Pharmacotherapy
Psychiatric
Solid Organ Transplant
Complaint Category
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CE Provider Issue
Exam Content Relevance/Clarity
Exam Time Allotment
Testing Center Issue
Application Process
Certificates (not received, damaged, name issue)
General issue
Misuse of the BPS Marks/Logos
Certification Policy Issue
Recertification Policy Issue
Report Unauthorized Use of BPS credential
Website Issue (access, ease of use, content)
Please provide detailed description of the complaint
*
Supporting Documentation as applicable