An impartial resolution service assisting with refunds, contribution towards remedial treatment, apologies and
explanations relating to unsatisfactory private treatment or service.
Please complete this form if:
[* = mandatory fields]
You are complaining about private dental care provided in the UK
You are raising your complaint within 12 months of the treatment taking
place or within 12 months of becoming aware that you have something to complain about
Complaining on behalf of someone else (Section 2 of 5)
Please provide the details of the person you are making this complaint on behalf of.
Which dental professional are you complaining about? (Section 3 of 5)
Please enter the details of the dental professional who carried out the service/treatment.
Details of your complaint (Section 4 of 5)
Consent (Section 5 of 5)
In order to assist you with the resolution of your complaint, we may need to provide your details to:
- The dentist or dental care professional (the subject of your complaint); and
- His/her legal representative.
Please note that the DCS will not contact the dentist or dental care professional until Local Resolution has been
attempted. The only organisation that the DCS will disclose information to without your consent is the General Dental Council (GDC).
This is because, when we receive and consider your complaint, we may feel that there are issues that need to be
assessed by the GDC. If we refer your complaint to the GDC, they will contact you separately to explain the further
consent you need to provide to enable them to proceed.
We will also require you to authorise the dentist/dental care professional to disclose correspondence, dental
records and radiographs relating to your complaint to the Dental Complaints Service (DCS).