Grievance
Reporting

Mindful Healing Counseling values and encourages feedback from clients and community providers regarding the organization’s programs and practices. Complaints provide important opportunities for improving services. A complaint may be defined as an expression of dissatisfaction or an unmet expectation. Complaints may be submitted by clients or community providers, with support if necessary, and may relate to any aspect of the organization’s programs and services.

Mindful Healing Counseling is committed to listening to client and community provider concerns and responding in a fair, timely, and respectful manner. All complaints will be given due consideration without reprisal or discrimination. Language support will be provided for non-English-speaking clients or community providers as needed.

All aspects of a complaint will be handled confidentially to the extent permitted by law. However, if a complaint involves allegations of illegal or unethical behavior, information may need to be shared with appropriate external authorities.

All complaints are documented. The maintenance of complaint records is the responsibility of the Director of Quality Assurance.

You may submit a complaint anonymously; however, doing so may make it more difficult for Mindful Healing Counseling to fully address the matter.

Date of Report

Name of Person Submitting Complaint

First Last

Client Name (First, Last)(Required)

First Last

Parent/Guardian Name (if applicable)

First Last

Relationship to Client(Required)

Other

Phone(Required)

Name of Service Provider (Therapist, PSR, BST)

First Last

When did the event or incident happen? (Specific dates or times if helpful/relevant)

Describe the event(s) or incident(s) that prompted this complaint or grievance (Include all relevant details that will help in following up on this issue)

Is there a background to this complaint? (i.e. a brief description of circumstances and/or events leading up to the complaint)

Have you discussed your concern(s) with the provider? Were there any solutions sought between you and the provider?

What is your proposed solution to this concern?

Come See Us!

We’re located at:

Mindful Healing Counseling
4880 W. University Ave.
Suite B2
Las Vegas, NV, 89103

+1 (702) 660-5943
info@mhc.vegas

(702) 660-5943

Need directions? Find us easily with the map below!

Grievance Reporting

Come See Us!

Grievance
Reporting