Complaint & Incident Form


We encourage our clients to inform us of any complaints or incidents that may occur to help us improve our client care services. Please fill out the complaint & incident form as detailed and accurate as possible for best outcomes.

Complaints will be reviewed and responded to within 3 weeks of submission and processed within 6 weeks of review.

Your Information


Birth Date ✱


Client

Is the petitioner other than the patient? ✱

Client Birth Date ✱


Complaint


Does your complaint concern a specific department? ✱

Does your complaint concern a specific staff member? ✱

Have any damages been suffered? ✱

Attachments
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Discussions

Has this complaint been discussed with the person the incident occurred with? ✱
Has this complaint been discussed with a MHF staff member? ✱

Resolution

How would you like to be contacted in response to this complaint? ✱




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Contact us


Your confidentiality is key in our organization! Find out more about our privacy policy.
General: +1-721-542-1677

Admission: ext. 513
Care at home: ext. 506/504/511
Clinic care: ext. 501
Day learning center: ext. 507
Short and long stay: ext. 507
Internships and jobs: ext. 516

 
Admission: +1-721-585-8422
Emergency: +1-721-585-5556

  info@mhf-sxm.com

Admission: 24/7
Admission visits: 6:00pm → 7:30pm
Clinic care: Mon → Fri, 8:00am → 4:30pm
Care at home: 8:00am → 4:30pm
Day learning center: 8:00am → 3:00pm
Short and long stay visits: 6:00pm → 7:30pm
Prescriptions and refills:
Call from 9:00am → 12:00pm, or Email.

 
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