Client Grievance Submission
The purpose of a Grievance Policy is to provide our clients with the means to bring grievances to the attention of our Clinical Director. If you are unable to resolve your grievance through communication with your assigned staff/service provider, as well as the District Leadership, we ask that you submit the grievance in the document below. To connect with District Leadership, contact Georgia HOPE at 706-279-0405. Our operator will connect you to the appropriate person.

By submitting this form, you are submitting a formal grievance to the Georgia HOPE Clinical Team. You will receive a response from a member of the team to gain understanding of the grievance and determine how to proceed.
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Enter Your Full Name (First and Last) *
Enter your contact information (phone number or email address) *
What is your grievance? *
Is there any other information you would like to add?
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This form was created inside of Georgia HOPE.