Department of Health Services Logo

 

Wisconsin Department of Health Services

Client Rights Home

Intro to Client Rights

Client Rights Office

Client Rights Training Opportunities

Client Rights Limitation or Denial

Community Grievance Decision Digest

Confidentiality of Treatment Records

Guardianship

Minors

Informed consent

Centers for the Developmentally  Disabled

Mental Health Institutes

Secure Treatment Center

Research

Outpatient treatment

Inpatient treatment

Model Grievance Procedure

Forms, publications and posters

Non-Wisconsin residents who are emergency detained

 

DHS 94 Grievance Procedure Model

The Clients Rights Office has developed a model grievance procedure for new service providers who do not yet have a process in place. It can also be used by existing providers to use if they wish to update their current procedure.

Subchapter III of DHS 94 (exit DHS, PDF) sets forth the grievance procedure rules for people receiving services in the community. A simplified flow chart of the Community Grievance Resolution Procedures Process is available. (PDF, 19 KB)

The model can be adapted to the service provider's needs. The service provider can insert the provider's name in the model policy or otherwise adapt it as needed.

There are two versions available of the Client Rights Grievance Resolution Procedure Model

The Client Rights Office has developed sample decision formats for use in the grievance process. They are: 

Sample Level I-A report by the Client Rights Specialist (MS Word or PDF

Sample Level I-B decision by the Program Manager (MS Word or PDF

Sample Level II decision for the County Director (MS Word or PDF)

PDF: The free Acrobat Reader software is needed to view and print portable document format (PDF) files. Learn more.

Last Updated: January 14, 2013