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Client Grievance Form

Temecula Applied Behavior Analysis ("TABA") believes in the rights of clients to participate actively in their own plans of care, including the right to question how the care is being provided. If you are dissatisfied with a member of our staff, or decisions about services that you receive; please complete this form and submit it to the grievances and appeals coordinator at kristian@temeculaaba.com so that issues can be resolved reasonably quickly. Complaints and grievances from clients are regarded as important, and an integral part of our performance improvement process. Attempts will be made to mutually resolve any and all grievances in a fair, open and honest fashion.

Please be clear, objective and concise

Please attach to this form any written statements or other evidence which support your description of the alleged incident

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Mailing Address:

29995 Technology Drive
Suite 102
Murrieta, CA 92563

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