Consumer Forms
Find various documents covering policies, statements, and rights below.
Consumer Grievance Complaint Procedure
For services provided or denial of services or person involuntarily dismissed from a program.
Statement of Understanding
Treatment will be held in confidence unless we are given specific written consent for the release of info except for requests in accordance with laws and regulations.
Fee Policy Statement
As a consumer, you are eligible to apply for a discounted fee based on your annual income and family size.
Notice of Information Practices
This notice describes how medical info about you may be used and disclosed and how you can get access to this info.
Rights Protection and Advocacy Program
Be infomred about your civil, legal and personal rights.