Children and Youth Services

Children and Youth Referral Form

Children and Youth Assessment Form

NFusion Metro Referral Form

PACT

PACT Referral Form

I-CORT

I-CORT Referral Form

 

Notice of Grievance

Hinds Behavioral Health Services strives to provide quality and professional medical care. If you feel we missed the mark please contact our Consumer Advocate Hotline at 601-321-2400, email cadvocate@hbhs9.com, or reach out to any Hinds Behavioral Health Services staff member to voice a complaint. If your complaint has not been resolved by a method above please complete a formal complaint by submitting a Notice of Grievance Complaint form.

  • Notice of Grievance/Complaint

  • Please describe in detail the nature of your specific complaint or grievance, listing dates, any staff member(s) involved, etc. Feel free to attach other pages as necessary.
  • Drop files here or
    Accepted file types: pdf, doc, docx, jpg, Max. file size: 64 MB, Max. files: 2.
    • Hidden

      For Program Use Only

    • This field is for validation purposes and should be left unchanged.

    Hinds Behavioral Health Services’ Notice of Grievance/Complaint Form

    Mississippi Department of Mental Health Grievance Helpline

     

     

    Translate ยป