Authorization Number : 580-0131
Agency Series No. : CR-01B
Status : Active
Agency Web Link :
Agency : DMH
Confidential Description :
Division :
Vital Description :
Section :
Record Title : Client Advocacy Complaint Record (CR-002) - Copy-Central Office (if applicable)
Revision : 0
Record Description : Form on which the client advocate lists the patient's complaint in detail, a corrective action plan, and a statement signed by the patient stating if complaint resolved or not resolved to his/her satisfaction.