{"id":7142,"date":"2026-03-21T02:06:37","date_gmt":"2026-03-20T20:36:37","guid":{"rendered":"https:\/\/medcollegedarshan.com\/?post_type=formgent_form&#038;p=7142"},"modified":"2026-03-24T01:39:46","modified_gmt":"2026-03-23T20:09:46","slug":"report-quackery","status":"publish","type":"formgent_form","link":"https:\/\/medcollegedarshan.com\/index.php\/form\/report-quackery\/","title":{"rendered":"Report Quackery \/ Unethical Practices"},"content":{"rendered":"\n<style>\n    .formgent-form-7142 {\n        \/* Form variables *\/\n        --formgent-form-background-color: #ffffff;\n        --formgent-form-background-image: ;\n        --formgent-form-background-image-position:\n        center center;\n\n        --formgent-form-padding-desktop: 20px 20px 40px 20px;\n        --formgent-form-padding-tablet: 20px 20px 40px 20px;\n        --formgent-form-padding-mobile: 20px 20px 40px 20px;\n        --formgent-form-margin-desktop: 0 0 0 0;\n        --formgent-form-margin-tablet: 0 0 0 0;\n      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class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-wm6qxmh3DBj9\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-init=\"callbacks.initDatePicker\" data-wp-context='{ \"name\": \"date-picker\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-YgJjesfsHRsi\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Date of Incident (Approximate if <br>exact not known)                            <\/label>\n        \n        <div\n            class='formgent-has-input-icon formgent-suffix date'\n            style=\"width: 100%;\"\n        >\n            <input\n                autocomplete=\"off\"\n                class='formgent-field-single__input formgent-datepicker'\n                type=\"text\"\n                readonly\n                id=\"formgent-YgJjesfsHRsi\"\n                data-wp-bind--value=\"state.getDatePickerValue\"\n                placeholder=\"Select date\"\n            \/>\n        <\/div>\n            <\/div>\n<\/div>\n\n\n\n<h4 data-wp-bind--hidden=\"state.hideField\" data-wp-context=\"{ &quot;name&quot;: &quot;OqgPISCxdnDp-eQhn7cR0&quot; }\" class=\"wp-block-heading display-none\">Description of Complaint<\/h4>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"textarea-2\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-MxzpVrUox6bP\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Briefly describe what happened                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-MxzpVrUox6bP\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"textarea-3\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-iy5d3MeOmFhD\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                What makes you believe this is <br>malpractice or illegal practice?                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <textarea\n                class=\"formgent-field-single__input formgent-field-single__input--textarea\"\n                type=\"text\"\n                id=\"formgent-iy5d3MeOmFhD\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            ><\/textarea>\n                    <\/div>\n    <\/div>\n<\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown&quot;,&quot;field_label&quot;:&quot;Were any patients harmed?&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;thutB19Ko0FGHbAAUX6fx&quot;,&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;yes&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;no&quot;},{&quot;label&quot;:&quot;Not Sure&quot;,&quot;id&quot;:&quot;2&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;not-sure&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-slZUuvvyXt7D\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Were any patients harmed?                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-slZUuvvyXt7D\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"yes\">\n                            Yes                        <\/option>\n                                            <option value=\"no\">\n                            No                        <\/option>\n                                            <option value=\"not-sure\">\n                            Not Sure                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{&quot;name&quot;:&quot;dropdown-2&quot;,&quot;field_label&quot;:&quot;Is the person practicing without &lt;br&gt;proper qualification or license?&quot;,&quot;options&quot;:[{&quot;id&quot;:&quot;thutB19Ko0FGHbAAUX6fx&quot;,&quot;label&quot;:&quot;Yes&quot;,&quot;value&quot;:&quot;yes&quot;},{&quot;label&quot;:&quot;No&quot;,&quot;id&quot;:&quot;1&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;no&quot;},{&quot;label&quot;:&quot;Not Sure&quot;,&quot;id&quot;:&quot;2&quot;,&quot;collapsed&quot;:&quot;1&quot;,&quot;is_default&quot;:&quot;&quot;,&quot;value&quot;:&quot;not-sure&quot;}]}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-okuq7iQ2JV4m\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Is the person practicing without <br>proper qualification or license?                                    <span class=\"formgent-field-required\">\n                        *\n                    <\/span>\n                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <select class=\"formgent-field-single__input formgent-field-single__input--select\"\n                id=\"formgent-okuq7iQ2JV4m\"\n                data-wp-init=\"callbacks.dropdownInit\"\n                data-placeholder=\"Select an option...\"\n                autocomplete=\"off\"\n            >\n                                    <option value=\"\">Select an option...<\/option>\n                                            <option value=\"yes\">\n                            Yes                        <\/option>\n                                            <option value=\"no\">\n                            No                        <\/option>\n                                            <option value=\"not-sure\">\n                            Not Sure                        <\/option>\n                                                <\/select>\n\n                    <\/div>\n    <\/div>\n\n    <!-- <div data-wp-bind--hidden=\"!state.showFieldQuantityInput\" class=\"formgent-field-single formgent-field-quantity\" data-wp-class--formgent-field-quantity-hidden=\"!state.showFieldQuantityInput\">\n        <label for=\"\"\n            class=\"formgent-field-label\" data-wp-text=\"state.getQuantityLabel\">\n        <\/label>\n        <input class=\"formgent-field-single__input\" type=\"number\"\n            id=\"\"\n            name=\"_quantity\"\n            data-wp-on--input=\"actions.updatePaymentQuantity\"\n            data-wp-bind--value=\"state.getFieldQuantity\"\n            data-wp-bind--min=\"state.getFieldQuantityMin\"\n            data-wp-bind--max=\"state.getFieldQuantityMax\"\n            value=\"1\" \/>\n    <\/div> -->\n<\/div>\n\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"text\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-align-top\">\n                    <label\n                for=\"formgent-IAdY3Te3QF3k\"\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Any witnesses or additional details:                            <\/label>\n                <div class=\"formgent-field-single__wrapper\">\n            <input\n                class=\"formgent-field-single__input\"\n                type=\"text\"\n                id=\"formgent-IAdY3Te3QF3k\"\n                placeholder=\"\"\n                data-wp-on--input=\"actions.updateInput\"\n                data-wp-bind--value=\"state.getValue\"\n            \/>\n                    <\/div>\n    <\/div>\n<\/div>\n\n<style>\n        .formgent-upload-container {\n            min-height: 150px;\n            display: flex;\n            align-items: center;\n            justify-content: center;\n            flex-direction: column;\n            cursor: pointer;\n            border-radius: 8px;\n            border: 1px dashed var(--formgent-color-gray-300);\n            background: var(--formgent-field-background-color);\n            width: 100%;\n            padding: 20px;\n            text-align: center;\n        }\n        .formgent-upload-container .formgent-upload-area {\n            border: 0 none;\n        }\n        .formgent-upload-container p {\n            color: var(--formgent-field-placeholder-color);\n            text-align: center;\n            font-size: 14px;\n            font-weight: 400;\n            line-height: 1.6;\n            margin: 8px 0 0 0;\n        }\n        .formgent-upload-button {\n            display: inline-flex;\n            padding: 8px 12px;\n            justify-content: center;\n            align-items: center;\n            gap: 6px;\n            border-radius: 8px;\n            background: var(--formgent-color-gray-500, #747c89);\n            cursor: pointer;\n            color: #fff;\n            text-align: center;\n            font-size: 13px;\n            font-weight: 500;\n            transition: 0.3s ease;\n            border: 0 none;\n            box-shadow: none;\n        }\n    <\/style>\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{\"name\":\"file-upload\",\"highlightFileUpload\":false,\"uploadedFiles\":[],\"maxSizeError\":false,\"maxFileError\":false,\"maxAllowed\":5,\"notAllowed\":false,\"maxAllowedReached\":false}' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single formgent-field-single--file-upload formgent-field-align-top\">\n                    <span\n                class= \"formgent-field-label formgent-label-align-top\"\n            >\n                Upload Supporting Evidence                            <\/span>\n                <div\n            class=\"formgent-upload-container\"\n        >\n            <label aria-disabled=\"false\"\n                for=\"formgent-SF9u7TdFDTQL\"\n                class=\"formgent-upload-area\"\n                tabindex=\"0\"\n                role=\"button\"\n                aria-label=\"Upload\"\n                data-wp-class--formgent-file-upload-highlight=\"context.highlightFileUpload\"\n                data-wp-class--formgent-file-upload-disabled=\"context.maxAllowedReached\"\n                data-wp-bind--aria-disabled=\"context.maxAllowedReached\"\n                data-wp-on--dragenter=\"actions.fileDragEnter\"\n                data-wp-on--dragover=\"actions.fileDragEnter\"\n                data-wp-on--dragleave=\"actions.fileDragLeave\"\n                data-wp-on--drop=\"actions.fileDrop\"\n                data-wp-on--keydown=\"actions.handleUploadAreaKeydown\"\n            >\n                <span class=\"formgent-upload-button\">\n                    <svg width=\"14\" height=\"14\" viewBox=\"0 0 14 14\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n<path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M0.333252 1.00016C0.333252 0.631973 0.631729 0.333496 0.999919 0.333496H12.9999C13.3681 0.333496 13.6666 0.631973 13.6666 1.00016C13.6666 1.36835 13.3681 1.66683 12.9999 1.66683H0.999919C0.631729 1.66683 0.333252 1.36835 0.333252 1.00016ZM6.99992 3.00016C7.17673 3.00016 7.3463 3.0704 7.47132 3.19542L11.4713 7.19543C11.7317 7.45577 11.7317 7.87788 11.4713 8.13823C11.211 8.39858 10.7889 8.39858 10.5285 8.13823L7.66659 5.27631V13.0002C7.66659 13.3684 7.36811 13.6668 6.99992 13.6668C6.63173 13.6668 6.33325 13.3684 6.33325 13.0002V5.27631L3.47132 8.13823C3.21097 8.39858 2.78886 8.39858 2.52851 8.13823C2.26816 7.87788 2.26816 7.45577 2.52851 7.19543L6.52851 3.19542C6.65354 3.0704 6.82311 3.00016 6.99992 3.00016Z\" fill=\"currentColor\"\/>\n<\/svg>\n                    Upload                <\/span>\n                <input\n                    multiple\n                    type=\"file\"\n                    class=\"formgent-file-input\"\n                    style=\"display: none;\"\n                    id=\"formgent-SF9u7TdFDTQL\"\n                    data-wp-on--change=\"actions.onChangeFile\"\n                    data-wp-bind--disabled=\"context.maxAllowedReached\"\n                \/>\n\n                <!-- Hidden validation input for required field validation -->\n                <input\n                    type=\"hidden\"\n                    class=\"formgent-validate-field-input\"\n                    name=\"file-upload\"\n                    value=\"\"\n                \/>\n\n                <p>Drop file here or click to upload<\/p>\n\n                                    <p>Maximum file size allowed: 10000KB<\/p>\n                \n                                    <p>Maximum number of files allowed: 5<\/p>\n                            <\/label>\n\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.maxSizeError\">\n                Maximum file size allowed: 10000KB            <\/span>\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.maxFileError\">\n                Maximum number of files allowed: 5            <\/span>\n            <span hidden class=\"formgent-warning-message\" data-wp-bind--hidden=\"!context.notAllowed\">\n                File type not allowed. Allowed file types: image\/jpeg, image\/png, image\/gif, application\/pdf            <\/span>\n\n\n            <div hidden class=\"formgent-file-preview\" data-wp-bind--hidden=\"!state.hasFiles\">\n                <ul class=\"formgent-preview-items\">\n                    <template data-wp-each=\"context.uploadedFiles\">\n                        <li class=\"formgent-preview-container\">\n                            <div class=\"formgent-file-preview-media\">\n                                <div>\n                                    <img\n                                        data-wp-bind--hidden=\"!context.item.isImage\"\n                                        class=\"formgent-preview-image\"\n                                        data-wp-bind--src=\"context.item.src\"\n                                    \/>\n                                    <video\n                                        data-wp-bind--hidden=\"!context.item.isVideo\"\n                                        class=\"formgent-preview-image\"\n                                        width=\"120\"\n                                        height=\"100\"\n                                    >\n                                        <source data-wp-bind--src=\"context.item.src\">\n                                    <\/video>\n                                    <span data-wp-bind--hidden=\"!context.item.isOther\">\n                                                                            <\/span>\n                                <\/div>\n                                <p class=\"formgent-file-name\">\n                                    <span data-wp-text=\"context.item.name\"><\/span><br\/>\n                                    <span data-wp-text=\"context.item.size\"><\/span>\n                                <\/p>\n                                <div\n                                    data-wp-bind--hidden=\"context.item.uploaded\"\n                                    class=\"formgent-file-preview-status\"\n                                >\n                                    <span\n                                        data-wp-style----formgent-file-upload-progress=\"context.item.progress\"\n                                        class=\"formgent-file-upload-progress\"\n                                    ><\/span>\n                                    <span\n                                        data-wp-text=\"context.item.progress\"\n                                        class=\"formgent-file-upload-progress-text\"\n                                    >\n                                        0%\n                                    <\/span>\n                                <\/div>\n                            <\/div>\n                            <div data-wp-bind--hidden=\"!context.item.uploaded\" class=\"formgent-file-preview-action\">\n                                <span\n                                    class=\"formgent-file-delete\"\n                                    tabindex=\"0\"\n                                    role=\"button\"\n                                    aria-label=\"Delete file\"\n                                    data-wp-on--click=\"actions.removeFile\"\n                                    data-wp-on--keydown=\"actions.handleRemoveFileKeydown\"\n                                >\n                                    <svg width=\"100%\" height=\"100%\" viewBox=\"0 0 24 24\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n <path d=\"M16 6V5.2C16 4.0799 16 3.51984 15.782 3.09202C15.5903 2.71569 15.2843 2.40973 14.908 2.21799C14.4802 2 13.9201 2 12.8 2H11.2C10.0799 2 9.51984 2 9.09202 2.21799C8.71569 2.40973 8.40973 2.71569 8.21799 3.09202C8 3.51984 8 4.0799 8 5.2V6M10 11.5V16.5M14 11.5V16.5M3 6H21M19 6V17.2C19 18.8802 19 19.7202 18.673 20.362C18.3854 20.9265 17.9265 21.3854 17.362 21.673C16.7202 22 15.8802 22 14.2 22H9.8C8.11984 22 7.27976 22 6.63803 21.673C6.07354 21.3854 5.6146 20.9265 5.32698 20.362C5 19.7202 5 18.8802 5 17.2V6\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n <\/svg>\n                                <\/span>\n                            <\/div>\n                        <\/li>\n                    <\/template>\n                <\/ul>\n            <\/div>\n        <\/div>\n    <\/div>\n    <\/div>\n\n\n<div data-wp-interactive=\"formgent\/form\" data-wp-context='{ \"name\": \"gdpr\" }' data-wp-bind--hidden=\"state.hideField\" class=\"display-none formgent-field   formgent-field-width-100\">\n    <div class=\"formgent-field-single\">\n        <div class=\"formgent-field-single__wrapper formgent-field-single__wrapper--gdpr formgent-label-align-left\">\n            <input\n                class=\"formgent-field-single__input formgent-field-single__input--checkbox\"\n                type=\"checkbox\"\n                id=\"formgent-tzRPzsY-NJ3R\"\n                data-wp-on--change=\"actions.updateGdpr\"\n                data-wp-bind--checked=\"state.getValue\"\n            \/>\n            <label for=\"formgent-tzRPzsY-NJ3R\" class=\"formgent-field-label\">\n                <span class=\"formgent-field-gdpr-checkbox\">\n                                    <\/span>\n                <span class=\"formgent-field-sub-label\">\n                    I Accept<br><strong>Declaration:<\/strong> <em>I confirm that the information provided is true to the best of my knowledge.<\/em><br><strong>Consent:<\/strong> <em>I allow Med College Darshan to use this information to raise the issue with concerned authorities.<\/em>                    <span class=\"formgent-field-required\">*<\/span>\n                <\/span>\n            <\/label>\n        <\/div>\n    <\/div>\n<\/div>\n\n<div\n    data-wp-interactive=\"formgent\/form\"\n    data-wp-context='{ \"name\": \"button\" }'\n    data-wp-class--formgent-display-none=\"context.is_multi_step\"\n    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