File a Complaint - College of Physiotherapists of Manitoba

Submit a Complaint Form

Thank you for contacting the College of Physiotherapists of Manitoba to share your concerns about or make a complaint regarding a physiotherapist. To file a complaint against a registered physiotherapist, you can submit a letter or complete the online Complaint Reporting Form below. Please ensure your concern is clearly stated and include as much detailed information as possible. Once your complaint is received, you will be notified via the email you provided. If you have any questions or need further assistance, please feel free to contact the College of Physiotherapists of Manitoba (CPM) directly at (204) 287-8502.

Patient Information

Your Name(Required)

First Last

Your Address(Required)

Street Address Address Line 2 City Province ZIP / Postal Code

Your Phone(Required)

Your Email Address(Required)

Relationship to patient(Required)

Physiotherapist(s) name:(Required)

Name of the Facility or Physiotherapist's Work Location:(Required)

Address:(Required)

Street Address City State / Province / Region ZIP / Postal Code

Names of other people who may have information regarding the complaint or witnesses (if applicable):(Required)

Not Applicable

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Relationship to patient

My complaint(Required)

Please provide a description of your concerns about the physiotherapist. Please include dates or time periods, what the physiotherapist did or did not do, where the incident occurred and who was involved.

Upload: Supporting Documents

Please upload any supporting documents if applicable.

File

Max. file size: 100 MB.

I certify that the information provided is true and accurate to the best of my knowledge. I understand that checking this box constitutes my electronic signature and that the information may be used and disclosed as necessary to review and investigate this complaint.

Date(Required)

Name(Required)

First Last