North Country Community Mental Health

To access services, call 1-800-834-3393 or TTY/TDD: dial 711
24-Hr Crisis Line: 1-800-442-7315

North Country Community Mental Health covers Antrim, Charlevoix, Cheboygan, Emmet, Kalkaska and Otsego Counties.

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Recipient Rights
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Recipient Rights

If you believe that one of your rights have been violated, you (or someone on your behalf) may use this form to make a complaint. A Rights Officer/Advisor will review the complaint and may conduct an investigation.


The form is available now in Microsoft Word and Adobe Acrobat (PDF).  You will need Adobe Acrobat Reader to be able to view and print this form.  The PDF format can only be printed and filled out by hand.  The Microsoft Word format can be saved to your hard drive or diskette, filled out on your computer, and then printed out and mailed.

Your Rights When Receiving Mental Health Services in Michigan

Recipient Rights Complaint Form - Microsoft Word Format

Recipient Rights Complaint Form - PDF Format