Ethics & Professional Standards

File an Ethics Complaint

Use this form to report a potential violation of the ACBHC-Approved NAADAC/NCC AP Code of Ethics or the Peer Support Code of Ethics by a certified behavioral health professional.

Before You Begin

Understanding the Complaint Process

This form is reserved for formal ethics complaints against addiction or mental health professionals certified through ACBHC. Please read the information below carefully before submitting.

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Confidential & Secure Submission All information submitted through this form is handled confidentially by the ACBHC Ethics Committee. Your submission will be reviewed in accordance with the established Procedures for Adjudicating Ethics Complaints.

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Retaliation Is Prohibited Retaliation against a complainant, respondent, or any other party involved in an ethics complaint is strictly prohibited and can expose the retaliating party to lawsuits and investigation.

You Are The

Complainant

The person filing this complaint — you believe a code of ethics has been breached.

You Are Filing Against The

Respondent

The certified professional whose conduct you allege violated ethical standards.

How Complaints Are Processed

Complete This Form

Provide your information (Complainant), the respondent's information, and any witnesses who have direct knowledge of the alleged conduct.

Identify the Ethical Violations

List each Ethical Principle and Section you believe was violated, with a brief description of the behavior in question.

Attach Supporting Evidence

Include any documentation that supports your allegations.

Sign & Submit

Your electronic signature authorizes ACBHC to release the information necessary to investigate this complaint. The complaint will not be processed without it.

Logged & Acknowledged

Your complaint is date-stamped and recorded in the Ethics Complaint Log. Both you and the respondent are notified within 10 days that it's been received.

Investigate or Dismiss

The Ethics Review Committee decides within 10 days whether your complaint warrants investigation or should be dismissed, and notifies both parties of that decision within 10 days.

Investigation

If investigated, review is typically completed before the next scheduled Commission meeting, with up to a 90-day extension if more time is needed. In serious cases, the Commission may vote to temporarily suspend the respondent's certification while the investigation is pending.

Hearing & Determination

Once the investigation is complete, the Ethics Review Committee holds a hearing with the full Commission. You and the respondent (who may bring their own legal counsel) are both invited to give testimony before the Commission reaches a determination by vote in closed session.

Final Notification

The Commission's determination is sent by certified mail within 5 days. If a sanction is issued, the respondent is advised of their right to appeal the decision.

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Need the Ethics Flowchart?

The ACBHC Ethics Complaint Flow Chart walks through how a complaint is processed, step by step.

Download →

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Need the Code of Ethics?

The full NAADAC/NCC AP Code of Ethics, including all Principles and Sections referenced on this form.

Download →

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Prefer to Mail It In?

Download a printable copy of this form and mail your completed complaint to ACBHC, P.O. Box 220109, Anchorage, AK 99522.

Download →

ACBHC Ethics Committee

Ethics Complaint Form

Complete all fields on both pages of this form. Your submission is reviewed confidentially by the ACBHC Ethics Committee in accordance with adjudication procedures.

🔒 Secure Submission NAADAC / NCC AP Ethics Peer Support Ethics

Your Information (Complainant)

Full Name *

Please enter your full name.

Email Address *

Please enter a valid email address.

Phone Number

Full Address

Person You're Filing Against (Respondent)

Full Name *

Please enter the respondent's full name.

Email Address

Please enter a valid email address.

Phone Number

Full Address

Witnesses (optional)

Anyone with direct knowledge of the behavior you're reporting.

Alleged Ethical Violations *

List each Ethical Principle and Section you believe was violated, and describe the behavior in question.

📄 Download the NAADAC/NCC AP Code of Ethics (PDF) — look up exact Principles & Sections

Please describe at least one alleged violation.

Supporting Evidence (optional)

Attach any documentation that supports your allegations (PDF, Word, or image files — 8MB per file, 5 files max).

Click to choose files or drag them here

Consent & Signature

I consent to release all information necessary to investigate this complaint. I acknowledge that I have read and agree to abide by the Instructions for Filing Ethics Complaints and the Procedures for Adjudicating Ethics Complaints. The complaint will not be processed without my signature.

Type Your Full Legal Name to Sign *

A signature is required.

Date

This form is submitted directly and confidentially to the ACBHC Ethics Committee. See our Privacy Policy.

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Complaint Submitted

Your ethics complaint has been sent to the ACBHC Ethics Committee. You'll be contacted at the email address you provided with additional notification or instructions.

Questions About the Ethics Process?

If you are unsure whether this form applies to your situation, or need assistance before submitting, please reach out to our office directly.

Contact ACBHC Meet the Ethics Committee