Complaints and Concerns Form

Your Complaint or Concern

Please ask a worker to help you fill out this form if needed. Any C.M.H.A. H.K.P.R. worker can help you, and they will ensure that your complaint or concern is directed to the right manager. We will follow up with you within 5 business days of receiving a complaint.

Your Name
First Last
Preferred Pronoun (Optional)
Your Worker's Name
First Last
Would you like this complaint to go to your worker, or to their manager?
- To your worker
- To their manager
Are you a client of C.M.H.A. H.K.P.R., family member, or other?
How can we reach you? Phone:
Email
Date of Complaint - must be mm/dd/yyyy format
MM slash DD slash YYYY
1. Please describe your complaint or concern. Include what has happened, and what you think should happen now.
2. Please describe if anyone has already tried to help you with this complaint or concern.

Peterborough Office

466 George Street North
Peterborough, ON K9H 3R7
Phone: 705-748-6711 or 1-866-990-9956
Fax: 705-748-2577
E-mail: info@cmhahkpr.ca

Hours: Monday to Friday 8:30 am – 4:30 pm
Closed from 12:15pm-12:45pm
Kawartha Lakes Office

33 Lindsay Street South
2nd Floor, Unit C, Lindsay, ON K9V 2L9
Phone: 705-328-2704 or 1-888-454-8875
Fax: 705-328-2456
E-mail: info@cmhahkpr.ca

Hours: Monday to Friday 9:00 am – 4:30 pm
Closed from 12:00pm-1:00pm
Administrative Office

415 Water Street
Peterborough, ON K9H 3L9
Phone: 705-748-6687
Fax: 705-748-4078
E-mail: info@cmhahkpr.ca

Hours: Monday to Friday 8:30 am – 4:30 pm
Closed from 12:15 pm-12:45 pm
Health Information Requests:
healthrecords@cmhahkpr.ca
705-748-4078

Your Complaint or Concern

Peterborough Office

Kawartha Lakes Office

Administrative Office