Recipient Rights Complaint Form

Instructions for downloading and submitting the Rights Complaint form:

1.  To download the Word version of the Rights Complaint form,

 click this link Rights Complaint Form - Word Format

2.  To download the PDF version of the Rights Complaint form,

click this link Rights Complaint Form - PDF Format

You will need Adobe Reader to be able to view and print this version of the form.

To get Adobe Acrobat Reader free, click here getacro.gif (712 bytes) 

3.  Submit your complaint to the Rights Office of the CMH or Hospital where you are receiving services.  If you are not sure of that information use this link to Find Your Rights Office.

If you want to send your complaint to the State Office of Recipient Rights use this address:

Michigan Department of Community Health
Office of Recipient Rights
Lewis Cass Building-Garden Level
Lansing, MI 48933