Complaint and Investigations Decision Appeal Forms

DMH Complaint and Investigations Forms

 

Complaint Form

This Complaint Form was created by the Department of Mental Health (DMH) and may be downloaded from the table below and completed by anyone wanting to make a complaint about dangerous, illegal, and/or inhumane conditions or treatment experienced by a DMH client or anyone receiving services from a program or facility licensed or operated by DMH or contracted with DMH.

For further action, please mail the completed Complaint Form to the following address:

Department of Mental Health
Central Office of Investigations
25 Staniford Street
Boston, MA 02114

If you have any questions regarding this form, please call Katherine Gallant, DMH Director of Investigations, at [phone] or the DMH Information and Resource line at 1-800-221-0053 (voicemail box monitored during regular business hours only, Monday through Friday, 8:45am - 5:00pm).

• DMH Complaint Form - English
• DMH Complaint Form - Spanish
• DMH Complaint Form - Portuguese
• DMH Complaint Form - Chinese
• DMH Complaint Form - Khmer
• DMH Complaint Form - Haitian 
• DMH Complaint Form - French
• DMH Complaint Form - Russian
• DMH Complaint Form - Vietnamese

Appeal Form

Investigation Decision (104 CMR 32.00) Appeal Form

• Download and complete the Appeal Form