My Account HOME LICENSEE INFO CONSUMER INFO ABOUT US LAWS & RULES DISCIPLINARY ACTION CALENDAR BOARD NOMINATIONS FORMS File A Complaint Please fill out the following form using the CAPS LOCK feature on your keyboard. Person Registering Complaint Anonymous complaints will not be accepted. State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Are you a licensee? Yes No Is this complaint being filed on behalf of any agency or employer? If yes, explain below. Yes No Person Complaint is Being Registered Against State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Complaint Type Billing Exceeding Scope Failure to Provide Services Fraud Misrepresentation Other Patient Complaint Practice without a License Record Keeping Supervision Substance Abuse Theft Unprofessional Conduct Work Place Setting Hospital Private Practice Rehab/Agency School/University Not Employed Other Is the Speech-Language Pathologist or Audiologist licensed by this Board? Yes No Unknown Description of Wrongdoing Include specific details such as names of people involved, dates, location, particulars about the alleged violation(s), and any other pertinent facts. If you have any additional documentation regarding this complaint that you would like to provide to the Board, please mail it to the LBESPA office. By typing your name in the signature field, you are signing this agreement electronically. You agree that your electronic signature is the legal equivalent of your manual signature on this agreement. SUBMIT Search for a licensed practitioner: Select Filter By City By Name By License # Select Filter Our Mission The Board exists because the legislature declared that "in order to safeguard the public health, safety, and welfare, to protect the public from incompetent, unscrupulous, and unauthorized persons, and from unprofessional conduct by speech-language pathologists, audiologists, and speech-language pathology assistants, it is necessary to provide regulatory authority over persons offering speech-language pathology and audiology services to the public." FIGHT FRAUD, WASTE & ABUSE! Contact the Louisiana Legislative Auditor (LLA) Hotline if you suspect the misappropriation (theft), fraud, waste or abuse of public funds by anyone. Toll Free: 1-844-50 FRAUD (503-7283) Online: ReportFraud.La Contact Us Towne Park Centre 37283 Swamp Road. Suite 3B Prairieville, LA 70769 Phone: (225) 313-6358 Email: mricca@lbespa.org E-transcripts: mricca@lbespa.org