
If you mail a complaint, be sure to send it to: If you have filed your complaint somewhere else and where you’ve filed.Contact information for someone who can help us reach you if we cannot reach you directly.Any special accommodations for us to communicate with you about this complaint.The name of the person on whose behalf you are filing if you are filing a complaint for someone else.A brief description of what happened, including how, why, and when you believe your (or someone else's) civil rights were violated.
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You will need Adobe Reader software to fill out the complaint and consent forms.
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Open and fill out the Civil Rights Discrimination Complaint Form Package in PDF format. However, for faster processing we strongly encourage you to use the OCR online portal to file complaints rather than filing via mail, as our personnel on site is limited.įile a Complaint Using the Civil Rights Discrimination Complaint Form Package

OCR is committed to handling your complaint as quickly as possible. After completing the consent form you will be able to print out a copy of your complaint to keep for your records File a Civil Rights Complaint in Writing NOTE: In accordance with the Office for Personnel Management's and CDC's guidelines on COVID 19, HHS personnel are teleworking. You will then need to electronically sign the complaint and complete the consent form.


If you make an inquiry on this website, you can expect to be provided with options that match what you are asking for. Rather it is a health matter that should be fully researched in order to make the best possible decision for one’s own situation. There is no incentive for anyone to utilize any specific treatment provider. If throughout the inquiry the person contacting discovers that the particular licensed treatment provider is a proper fit for their situation, then that will establish a relationship between the person inquiring and the facility itself. The licensed treatment provider is obligated to provide information about the Marchman Act and guide anyone who inquires to the proper level of help that is needed or desired for their particular situation.

No kickback, referral, brokering fee or similar is provided between the the owner of this website or the treatment provider. All calls and form submissions are handled solely and directly by Seacrest Recovery Center, a Licensed Florida Substance Abuse Treatment Program.
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The information provided by is not a substitute for professional treatment, legal or medical advice. does not endorse any programs or guarantee the quality of care that may or may not be provided by any provider, or the results to be achieved, by any treatment provider or attorney(s). does not provide legal or medical advice and is not an attorney, legal provider. is a service that provides information about the Marchman Act and addiction treatment options.
