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  • Wi Complaint/suggestion Form - Wraparound Milwaukee 2015

Get Wi Complaint/suggestion Form - Wraparound Milwaukee 2015-2026

TODAYS DATE:WRAPAROUND MILWAUKEE COMPLAINT/SUGGESTION FORMSECTION 1: To be completed by any individual (i.e., youth, parent/guardian, other family member, provider, etc.) who would like to report.

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How to fill out the WI Complaint/Suggestion Form - Wraparound Milwaukee online

Filing a complaint or suggestion with Wraparound Milwaukee is a simple process that can greatly help improve the services. This guide will provide you with a clear, step-by-step approach to completing the online WI Complaint/Suggestion Form.

Follow the steps to complete the form effectively.

  1. Press the ‘Get Form’ button to access the form and open it in your preferred editor.
  2. In Section 1, provide your name as the individual filing the complaint or suggestion. This section may include youth, parent/guardian, or other family members.
  3. Indicate your association with Wraparound by checking the appropriate box: Youth/Enrollee or Parent/Guardian.
  4. Fill out your street address, city, state, and zip code to ensure that your contact information is accurate.
  5. Provide your phone number for follow-up communication.
  6. If applicable, enter the name of the associated Wraparound youth or enrollee.
  7. If the submission is a complaint, list the name of the person or agency you are addressing your complaint against.
  8. In section A, describe your complaint or suggestion in detail, including relevant dates, times, and any individuals involved in the situation.
  9. In section B, explain what efforts you have made to resolve the issue prior to this submission, indicating if you spoke to the provider, Care Coordinator, or Child & Family Team.
  10. In section C, describe what outcome you hope to see as a result of this complaint or suggestion.
  11. Sign the form to affirm the authenticity of your submission and include the date of your signing.
  12. Once you have completed the form, save your changes. You can then download, print, or share the form as needed.

Submit your completed form online to ensure your complaint or suggestion is heard.

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Wraparound Milwaukee is the Behavioral Health Division entity that manages the public- sector, community-based mental health system for Medicaid eligible children, adolescents and young adults (ages 5-23) in Milwaukee County who have serious mental health or emotional needs.

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