Child Guidence Center

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    CHILD GUIDANCE CENTER, INC.
    CLIENT RIGHTS

    All clients have the right to:

    • Treatment by staff with respect.
    • Treatment without regard to sex, race, color, national origin, religion, spiritual beliefs, disabilities, language or economic status.
    • Assignment of a primary counselor.
    • The least restrictive treatment environment consistent with their needs.
    • Confidentiality as outlined in the “Privacy Notice” posted in all offices and given to guardian during orientation.
    • Reasonable privacy consistent with the need for safety.
    • Freedom from neglect, abuse, humiliation, harassment, psychological or monetary exploitation or any form of corporal punishment or retaliation.
    • Accessibility of their clinical record as outlined in the “Privacy Notice”.
    • Appeal denial or exclusion from a program or failure to take into account the client’s choice of service.
    • File a grievance and receive a fair hearing without retaliation or loss of service.
    • File a discrimination complaint with the Title VI coordinator.
    • Contact the Florida Department of Children and Families Contract Manager (904) 723-5323 or the Human Rights Advocacy Commission (904) 630-4911, if desired.
    • An orientation to the rights and responsibilities of the client and the clients’ family. (This orientation will be documented in the clinical record.)
    • Informed consent, refusal, or to express choice regarding: service delivery, release of information, concurrent services, composition of the service delivery team, or involvement in research projects.
    • Expect adherence to research guidelines and ethics if applicable.

    Any client/family with an allegation of infringement of these rights may complete a Client Grievance Form or may contact any staff member regarding their grievance. Forms and pre-addressed envelopes are available in our waiting rooms or from your therapist/case manager. The completed Client Grievance Form is sent to the Clinical Director who is responsible for seeing that it is properly handled.

    Although clients are encouraged to complete the Grievance Form to insure that your concern is properly handled, for clients/families wishing to talk to staff directly you may contact the Program Director or one of the following persons. Names and phone numbers are provided:

    General Complaints Discrimination Complaints
    Jane Chafin, LCSW, Clinical Director 448-4700x229 Donna Thomas, Title VI Coordinator 745-3070x304
           
    Theresa Rulien, Ph.D., President/CEO 448-4700x110 Department of Children & Families
    Office of Civil Rights
    1317 Winewood Blvd, Bldg 1, Room 110
    Tallahassee, FL 32399-0700

    Phone:

    850-487-1901
    TDD:

    850-922-9220

           
    For other legal rights contact:
    Legal Air
    Mental Health of America

    232-2090
    730-8291
    U.S. Dept of Health and Human Services
    Office of Civil Rights
    Atlanta Federal Center, Suite 3B70
    60 Forsyth Street, S.W.
    Atlanta GA, 30303-8909

    Phone:

    404-562-7886
    TDD:

    404-331-2867

    The Child Guidance Center - Phone: 904-448-4700 • Address: 5776 St. Augustine Rd., Jacksonville, FL 32207, Email: info@childguidancecenter.org