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 who wish to update their current procedure.
- Wis. Admin. Code ch. DHS 94 - Patient Rights and Resolution of Patient Grievances
- Community Grievance Resolution Procedures Process Flow Chart (PDF, 19 KB)
This model grievance procedure 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.
- Client Rights Grievance Resolution Procedure Model (PDF, 86 KB)
- Client Rights Grievance Resolution Procedure Model (WORD, 126 KB)
Sample decision formats
The Client Rights Office has developed sample decision formats for use in the grievance process.