Appeal a decision about a complaint If you are unhappy about the outcome of a complaint you can appeal the decision by submitting this form. Step 1 of 2 - Contact information 50% Complete this form if you would like to appeal a decision made by the Practice Standards Panel. If you are unhappy with the outcome of a complaint we can refer to an Independent Appeals Officer who will, initially, consider whether there are grounds for appeal. The process and ground for appeal are outlined in our complaints procedure. Your appeal should be about the concerns you raised in your complaint and not about any new concerns you may now have about the member. Your name* First Last Member's name* First Last Date of Practice Standards Panel report MM slash DD slash YYYY Grounds for appeal By letting us know why you feel there are grounds for appeal you will help the Independent Appeals Officer quickly decide what to do next. The grounds outlined in our Complaints Procedure are all included below. Please let us know which you think apply and, if you can, provide the reasons for this.Has there been a procedural irregularity, e.g. do you feel the complaints procedure has not been followed? Yes No What happened?You can attach supporting documents that directly support your appeal. Only upload documents that provide direct examples of the events you've described. If we feel it would be helpful for you to provide more documents we will discuss this with you.Supporting documentation Drop files here or Select files Max. file size: 64 MB. Have irrelevant matters been taken into account or has something been ignored? Yes No What happened?You can attach supporting documents that directly support your appeal. Only upload documents that provide direct examples of the events you've described. If we feel it would be helpful for you to provide more documents we will discuss this with you.Supporting documentation Drop files here or Select files Max. file size: 64 MB. Is the conclusion reached by the Practice Standards Panel plainly wrong? Yes No Why is the conclusion plainly wrong?You can attach supporting documents that directly support your appeal. Only upload documents that provide direct examples of the events you've described. If we feel it would be helpful for you to provide more documents we will discuss this with you.Supporting documentation Drop files here or Select files Max. file size: 64 MB. Is the action recommended by the Practice Standards Panel inappropriate? Yes No Why is the recommended action inappropriate?You can attach supporting documents that directly support your appeal. Only upload documents that provide direct examples of the events you've described. If we feel it would be helpful for you to provide more documents we will discuss this with you.Supporting documentation Drop files here or Select files Max. file size: 64 MB.