CLIENT SERVICE FEEDBACK FORM
COLUMBIACARE VALUES YOUR INPUT!
This is an anonymous feedback form to help us improve our services. All feedback received is taken seriously and will be reviewed by members of the quality improvement team on a regular basis and will be used to inform our services, policies, and procedures.
PLEASE NOTE! THIS FEEDBACK FORM IS NOT INTENDED TO REPLACE ANY EXISTING GRIEVANCE OR COMPLAINT PROCESSES.
This feedback form is not a grievance. All individuals receiving services from ColumbiaCare have the right to submit a grievance, in accordance with Oregon Administrative Rule 309-019-0215. If you have a concern that requires follow-up, you are encouraged to speak with a member or your treatment team, and/or submit a grievance. Grievance forms are available at all ColumbiaCare programs and ColumbiaCare staff are able to assist in the process of completing the grievance, upon request.