Skip to Content
DHHS
 

Complaint and Grievance Form

Milwaukee County Behavioral Health Services

24-Hour Crisis Line

Call (414) 257-7222  text to 988, or chat via www.988LIFELINE.ORG now if you believe you or a loved one is experiencing a crisis.

To be completed by any individual (person receiving Milwaukee County Behavioral Health Services, parent/guardian, other family member, provider, etc.) who would like to file a complaint or grievance as it relates to Milwaukee County Behavioral Health Services. 

This form will be submitted to the Client Rights Specialists for Milwaukee County Behavioral Health Services. We are unable to address grievances for other Milwaukee County Services providers; complaints and grievances will need to go directly to that service provider/program. If you have any questions or would like to report your complaint/grievance over the phone, please contact Client Rights at 414-257-7469.

* indicates a required field


Your Info

*Your association with our program:

 

Your Address

 

Complaint / Grievance Info

Milwaukee County Behavioral Health program enrollee

If this is a grievance, what have you done in an attempt to resolve the issue (example: discuss with the provider, your case manager/Care Coordinator, or a supervisor). Please explain

Any additional information you would like us to know: