Department Of Mental Health Complaint Form Page 2

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_____ Check here if there are any attachments
IF YOU ARE BETWEEN THE AGE OF 18 AND 59 (INCLUSIVE) AND HAVE BEEN SUBJECT TO PHYSICAL
OR EMOTIONAL ABUSE YOU CAN CALL THE DISABLED PERSONS PROTECTION COMMISSION 24
HOUR HOTLINE AT (800) 426-9009.
EMPLOYEES OF THE DEPARTMENT OF MENTAL HEALTH AND OF PRIVATE AGENCIES PROVIDING
SERVICES TO DISABLED PERSONS WHO HAVE REASON TO BELIEVE A DISABLED PERSON BETWEEN
THE AGE OF 18 AND 59 HAS BEEN PHYSICALLY OR EMOTIONALLY ABUSED ARE REQUIRED BY LAW
TO IMMEDIATELY REPORT ABUSE TO THE DISABLED PERSONS PROTECTION COMMISSION 24 HOUR
HOTLINE AT (800) 426-9009. A WRITTEN REPORT SHOULD BE FILED WITH DPPC WITHIN 48 HOURS
OF THE ORAL REPORT.
DATE
COMPLAINANT SIGNATURE

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