Need to know
Marin County is committed to finding solutions to the issues you may face when receiving services from Behavioral Health and Recovery Services (BHRS).
Before you start
- As a client of BHRS, you are encouraged (but not required) to discuss issues about your services with your provider or 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.
What to do
Complete appropriate form found at the bottom of this page.
Return the form by-
- Handing to the receptionist at the place you received services
- Mailing it to BHRS Quality Management Unit, 20 N. San Pedro Rd., San Rafael, CA 94903.
- Emailing it to BHRS Quality Management Unit
Change of provider request forms
The documents in this list may not work with all assistive technology and are being remediated. For alternative formats, please email Behavioral Health and Recovery Services or phone 415-473-6769. To use the California relay service, dial 711.
- Change of Provider Request Form (English)_1.pdf (0.19 MB) — Change of Provider Request
- Change of Provider Request - English Large Font.pdf (0.19 MB) — Change of Provider Request - Large Font
- Change of Provider Request - Spanish (1).pdf (0.12 MB) — Change of Provider Request (Español)
- Change of Provider Request - Spanish Large Font.pdf (0.12 MB) — Change of Provider Request - Large Font (Español)
- Change of Provider Request - Vietnamese (1).pdf (0.14 MB) — Change of Provider Request (Vietnamese)
- Change of Provider Request - Vietnamese Large Font.pdf (0.15 MB) — Change of Provider Request - Large Font (Vietnamese)