Use this form if you are unhappy with services or feel your concerns or rights have not been handled properly by Senior Solutions. Clients have the right to share concerns and have them reviewed in a fair and respectful manner. All complaints will be reviewed by the appropriate staff, and you will be contacted regarding any follow-up or resolution.

Case Management Client Complaint/Grievance Form

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Case Management Client Complaint/Grievance Form

Client Information

Client Name
Best Way to Contact
Best Time of Day

Person Completing Form (if different)

Name
Best Way to Contact
Best Time of Day
Relationship

Complaint/Grievance Details