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Toll-free: 800-325-6165

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Instructions to submit a Public Records Request

Seattle Ryan White HIV/AIDS Continuum of Care

Welcome to the Seattle Ryan White HIV/AIDS Continuum of Care web feedback form.

Please use this form to give compliments or voice concerns you have had while obtaining services from Ryan White providers. We will use this information to:

  • identify and address concerns as they are occurring
  • give positive feedback to providers who have done a good job
  • improve the quality of care for people with HIV/AIDS in our community

Your anonymity is important to us, so please do not include your name or contact information in your submission.

We are not able to respond to individual concerns submitted through this website.

1. I am a: 2. I have a:
Client Compliment
Provider Concern
Other

3. My feedback is about the following Ryan White funded program:
The BABES Network Psychosocial Support Program
Bailey Boushay House Adult Day Health Program
Consejo Counseling Services Case Management
Country Doctor Community Health Center Medical Care
Early Intervention Program (EIP) - WA Department of Health AIDS Drug Assistance Program (ADAP)
Evergreen Treatment Services/ETS Methadone program
Harborview Dental/Oral Surgery Clinic
HMC Madison Clinic Case Management
HMC Madison Clinic Medical Care
HMC Madison Clinic Nutrition Counseling
Jail Health Services Case Management
Jail Health Services Mental Health Therapy
Lifelong AIDS Alliance Case Management
Lifelong AIDS Alliance Food and Meals Program
Lifelong AIDS Alliance Housing Assistance
Lifelong AIDS Alliance Nutrition Counseling
Lifelong AIDS Alliance Substance Use Counseling
Lifelong AIDS Alliance Transportation Program
Multifaith Works Housing Services
Northwest Family Center Case Management
Northwest Family Center Mental Health Therapy
Northwest Family Center Substance Use Counseling
People of Color Against AIDS Network (POCAAN) Case Management
Public Health - HIV/AIDS Epidemiology Outreach Program
Puget Sound Neighborhood Health Centers Dental Care
Rosehedge Housing Services
Seattle Counseling Services Substance Abuse Services
Therapeutic Health Services/THS Methadone Program
UW Medical Center Virology Clinic Case Management
UW Psychiatry/Mental Health (at Harborview or UW Virology sites)

 

4. My feedback is about care I or a person with HIV received:
Today
In the last week
2-4 weeks ago
Over a month ago
On an ongoing basis

5. My feedback is: