Consumer Complaints and Questions

The OMMU Wants to Hear From You!

Please inform us of your questions, comments, or concerns by filling out and submitting the form below. 
Should you have a complaint about your qualified physician, you may file it here.

Please note, under Florida law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity; instead, contact our office directly by phone or in writing.

 

Required fields are marked with an asterisk (*)

First Name:

Last Name:

Email:

Phone:

Type: *

Patient Number (if applicable):

City:

State:

Zip Code:

Comment Type: *

For MMTC Complaints: Product Name and Batch Number:

Please describe your question, comment or concern: *