NCCAOM Advocacy Hero Image


National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM®)
2001 K Street NW, 3rd Floor North
Washington DC, 20006
Phone: (888) 381-1140
Fax: (202) 381-1141
E-mail: [email protected]

State Report Form for Professional Ethics Violation

"*" indicates required fields

Reporting Agency Information

State Official Name*

Disciplinary Case Information

Who committed this violation?

MM slash DD slash YYYY
MM slash DD slash YYYY
MM slash DD slash YYYY
Nature of the Case: (Check all that apply)*
Please attach a clear and concise description of the case, include facts, dates, reports.
Drop files here or
Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.

    The NCCAOM® Professional Ethics and Disciplinary Committee (PEDC) has the authority to investigate complaints received and to impose sanctions on Licensed Acupuncturists. Please refer to the NCCAOM® Procedures for Upholding Professional Conduct to understand the process and timeline for evaluating complaints received against Licensed Acupuncturists.

    If you have questions about the reporting process, contact NCCAOM’s Professional Ethics Department either by phone (888) 381-1140 or by email at [email protected].


    The information provided in your submission is confidential and intended solely for the NCCAOM's Professional Ethics and Disciplinary Committee (PEDC). By submitting this information, you acknowledge and agree that this information may be used to initiate an investigation into the underlying accusations. The investigatory process shall remain confidential between the Diplomate and the PEDC unless and until a final disposition of the matter requires publication. Please direct any questions to PEDC Liaison at [email protected].