PAIMI Assurance Grievance Form
Disability Rights California is required to establish a grievance procedure for individuals who have received or are receiving mental health services, or family members or representatives of such individuals to assure that we are operating in compliance with requirements under the program that serves individuals with mental health disabilities (i.e. the Protection and Advocacy for Mentally Ill Individuals Act or PAIMI Act).
Please use the following links to learn more about the federal assurances with which we must comply under the PAIMI Act and for information about how to file a grievance if you feel that we have not complied with these federal program requirements. PAIMI assurance grievance in pdf , Spanish , Korean , Chinese , Vietnamese , Cambodian , Russian , Tagalog , Hmong , Armenian , Ukranian , Laotian , Thai , Arabic