Crisis Hotline (800) 317-0708

Rights Complaint Form

Learning the reasons, or understanding why, I feel the way I feel. Learning skills to overcome my emotions.
-Mecosta County

Online Recipient Rights Complaint Form
Complainant's Name*
Recipient's Name
(if different from complainant)
Phone Number*
Address
Where did the alleged violation happen?*
When did it happen?*
(Date and time)
What right was violated?
Describe what happened*
What do you want to have happen in order to correct the problem?*


*Denotes required information.

CMHCM will not sell, disseminate, disclose, trade, transmit, transfer,
share, lease or rent any personally identifiable information to any third
party not specifically authorized by you to receive your information.

Learning the reasons, or understanding why, I feel the way I feel. Learning skills to overcome my emotions.
-Mecosta County
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