Suggestion for Quality Improvement

CMHCM Mission Statement

Our Mission
To promote community inclusion and whole-person wellness through comprehensive and quality integrated services to individuals with a serious emotional disturbance, intellectual/developmental disability, serious mental illness, or co-occurring substance use disorder.

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* 1. Name (optional):

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* 2. CMHCM Location

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* 3. I am a

consumer of services

community member

a provider

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* 4. Please tell us what needs improvement

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* 5. Do you have possible solutions?

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* 6. It is okay to call me or contact me by mail or follow-up at

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* 7. I would like to have a response to my suggestion. Please contact me at:

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 8. I wish to be contacted.

Yes