Complaint/Grievance Form
You have the right to file a complaint with us about our privacy practices or our compliance with our Notice of Privacy Practices, or our Privacy Policies and Procedures. To exercise this right, please complete, sign and date the following form, then submit or print and mail this complaint to us at:
Emerald Therapy Center, LLC
Jake Allen, COO
5050B Village Square Drive
Paducah, KY 42001
270-534-5128
j.allen@emeraldtherapycenter.com
You may in addition or in the alternative to filing a complaint with us, file a complaint with the United State Department of Health and Human Services.