FORMS AND DOCUMENTS

Services explained in Spanish

Spanish translation of Pawnee's Services

Complaint Procedures and Form

Any person who feels that he or she, individually or as a member of any class of persons, on the basis of race, color, or national origin has been excluded from or denied the benefits of, or subjected to discrimination caused by the Pawnee Mental Health Services, may file a written complaint .

Health Information Release

This document authorizes Pawnee to release or obtain protected health information.

Client Rights

As a client of Pawnee Mental Health Services you are entitled to specific rights
regarding your treatment

Client Responsibilities

Your responsibilities regarding treatment by Pawnee Mental Health Services.

Notice of Privacy Practices

This notice describes how protected health information about you may be used and disclosed and how you can get access to this information. 

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Pawnee is dedicated to providing outstanding service to our clients.  If you would like to make a comment, complaint or compliment on any of the services you received from Pawnee Mental Health Services please contact our Quality Director at (785) 587-4300.

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Pawnee está dedicado a proveer servicios espectaculares a nuestros clientes. Si se le gustaría hacer un comento, queja, o complemento sobre cualquier servicio que recibió de Pawnee Mental Health Services, favor de contactar a nuestra directora de calidad a (785) 587-4300.

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Non-Discrimination Statement:

Pawnee Mental Health Services does not discriminate against any person on the basis of race, religion, color, gender, sexual orientation, age, national origin, disability, or any other status or condition protected by law.

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Declaración de no discriminación:

Pawnee Mental Health Services no se discrimina a ninguna persona por motivos de raza, religión, color, genero, orientación sexual, edad, origen nacional, discapacidad, o cualquier estatus o condición protegido por el ley.

 

Ability to Pay Policy:

It is our policy to provide essential services regardless of the patient’s ability to pay.

Discounts are available to individuals without health insurance and are offered based upon poverty federal guidelines.

 

Principio de capacidad de pagar:

Es nuestra política proveer servicios esenciales a pesar de la capacidad del cliente a pagar. Descuentos están disponibles para individuos sin seguro médico y están ofrecidos basado en pautas de pobreza federales.