TITLE VI/ADA Complaints

Title VI of the Civil Rights Act of 1964 states:

"No person in the United States shall, on the ground of race, color, or notational, be excluded from participation in, denied the benefits of, or be subjected to discrimination under any program or activity receiving Federal financial assistance."

Title 42 U.S.C. Section 2000d

Please provide the necessary information in the linked complaint form to process your complaint.  A formal complaint must be filed within 180 days of the occurrence of the alleged discriminatory act. Assistance is available upon request. Complaints can be reported to the Ozarks Healthcare Patient Advocate at 417-853-5389 or return the completed form to: 

Ozarks Healthcare: Behavioral Health Center

P.O. Box 1100

West Plains, MO 65775

Translation and Assistance 

  • Translation services are provided free of charge. 
  • If you need information in another language, call 573-526-2978. 
  • Deaf or hard of hearing individuals can use Relay Missouri Services at 800-735-2966 or 7-1-1. 

Are you a new Ozarks Healthcare Behavioral Health Center (BHC) patient?

If you are a new BHC patient, please print, complete, and bring in the following forms with you to your appointment. If you need assistance, please call 417-257-5976.

OZH BHC New Patient Form

DMH Form

Release of Information

Sliding Fee Percentage Categories

English Version

Spanish Version

Russian Version

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