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.

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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.

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Fee Policy Statement

As a consumer, you are eligible to apply for a discounted fee based on your annual income and family size. 

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Infection Control And Fire Safety

Precaustions and guidelines for keeping safe.

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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.

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Rights Protection and Advocacy Program

Be infomred about your civil, legal and personal rights.

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