Online Patient Grievance Form

The grievance policy is a fair and equitable process for patients to file grievances about the care they receive from NAMHS and its providers. The policy ensures that patients have a way to voice their concerns and have them addressed, and it helps to ensure that NAMHS is providing quality care and that its providers are meeting the standards of care. 

Grievance Procedure:

1. A grievance may be submitted by a patient, patient’s representative, or provider to NAMHS in writing, by telephone, by fax, by email, by secure website, or by informing the provider.
2. Upon request, a NAMHS representative will mail a grievance form and a copy of the grievance process. An Online Grievance Form can also be found at the NAMHS website for use by the patient or provider. A NAMHS Patient Services representative will assist in completing the grievance form, if needed.
3. A grievance must be submitted within 180 calendar days following receipt of an adverse determination notice, or following any incident or action that is the subject of the patient's dissatisfaction.
4. NAMHS will send written acknowledgment of receipt of a grievance within five calendar days and will respond in writing with a resolution to a grievance within 30 calendar days of receipt.

To Submit By Mail, Fax, or Email 

North American Mental Health Services
Attention: Grievance Department
2400 Washington Avenue, Suite 100
Redding, California 96001

Phone: 530-232-5770
Fax: 530-338-3356
Email: compliance@namhs.com

Additional Supporting Documents:

Please submit any and all supporting documents along with this form to ensure a complete and accurate submission.

Acknowledgement:

I acknowledge that by signing this statement, I affirm that the information provided is accurate, complete, and truthful to the best of my knowledge. I understand that my signature signifies my commitment to the validity of this statement.