Forms

The following Patients’ Rights Advocacy materials, forms and resources are available for download. For more information, please contact Patients’ Rights Advocacy Services at (714) 276-8145, Monday – Friday from 8 a.m. to 5 p.m.

Grievance or Appeal Form

Seclusion / Restraint Advisement

Convulsive Treatments Administered – Quarterly Report

Denial of Rights – County Summary (MHRC)

Patients’ Rights Denial – Monthly Tally

Patients’ Rights Advocacy Advisement Handbook

Denial of Rights / Seclusion and Restraint Monthly Report

Quarterly Report on Involuntary Detentions