Please be advised that any information you supply on the complaint form may be subject to public disclosure. If an investigation into the matter is conducted, the information is subject to public disclosure only after the completion of the investigation. You are also advised that the completed complaint form is a “government record,” which the Board may be obligated to provide to anyone making a request pursuant to the Open Public Records Act (OPRA). You are further advised that pursuant to Section 4B of Executive Order No. 26, information concerning any individual’s medical, psychiatric or psychological history, diagnosis, treatment or evaluation is not a government record subject to public access.