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Get the free The first step to solving a complaint is to describe the problem

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You also have the right to contact the Governor s Advocacy Council for Persons with Disabilities. The phone number is 800-821-6922. When completed please give this form to any staff member and we will start the process to resolve your complaint. Today s Date Date of incident Patient Name DOB Your Name if different Phone Number When is the best time to contact you What is your complaint concern or problem Have you tried to resolve this problem with the staff person assigned to you or the...
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