24/7 Crisis Help Line: 877-470-4668
Access to Services: 877-470-7130
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.
You can reach the Office of Recipient Rights at 1-800-281-0481.
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 computer, filled out and then printed and mailed.
Your Rights When Receiving Mental Health Services in Michigan
Recipient Rights Advisory/Appeals Committee
Recipient Rights Advisory/Appeals Committee – Application
Recipient Rights Complaint Form – Microsoft Word Format
Recipient Rights Complaint Form – PDF Format
Authorization to Disclose Employee Background Information – Microsoft Word format
The North Country CMH Recipient Rights Advisory Committee (RRAC) meets quarterly to complete the following functions:
If you are interested in applying to become an RRAC member, please complete this application for consideration by the NCCMH Board. Anyone who resides within NCCMH’s six county service area and who is not employed by NCCMH may apply.
NCCMH is an equal opportunity employer/program. Reasonable accommodations will be provided upon notification of request. Auxiliary aids and services, including the use of audio/video-conferencing connections, are available to individuals with disabilities upon request. This meeting is open to all members of the public under Michigan’s Open Meetings Act. A list of names of the RRAC members serving, the composition of the committee, and the meeting minutes are available from the ORR upon request.
The next RRAC meeting will be held on Friday, August 8, 2022, at 1:30pm at 1420 Plaza Drive, Petoskey, in the Board Room.
North Country Community Mental Health Authority serves adults with serious mental illness, persons with intellectual and developmental disabilities, children with serious emotional disturbance, and persons with co-occurring substance use disorders in six counties: Antrim, Charlevoix, Cheboygan, Emmet, Kalkaska, and Otsego.
Comprehensive Assessment Policy
Confidentiality Use and Disclosure Procedure
Fingerprinting Photography Audio-Video Use of One-Way Glass Policy
Grievance and Appeal Procedure
Psychotropic and Other Medications Policy
Resident Communication and Visitation Procedure
Resident Freedom of Movement Policy
Resident Right to Entertainment, Information, and News Procedure
Residential Property and Funds Procedure