Change of Provider Request
Please first discuss your treatment concerns directly with your provider (case manager, therapist, social worker, nurse, or physician/psychiatrist) or with the Program Manager or Supervisor. If you are still unhappy with your provider, you have the right to request a change of provider and / or to file a grievance.
To request a change or file a grievance, reach out to the Quality Management (QM) Program and/or the Patient’s Rights Advocate:
- QM Program: (415) 473-2887
- Patient’s Rights Advocate: (415) 526-7525
- Change of Provider Request - English.pdf 191.29 KB
- Change of Provider Request - English Large Font.pd... 190.01 KB
- Change of Provider Request - Spanish.pdf 126.52 KB
- Change of Provider Request - Spanish Large Font.pd... 125.04 KB
- Change of Provider Request - Vietnamese.pdf 142.69 KB
- Change of Provider Request - Vietnamese Large Font... 157.13 KB