Complaint Form

NEED ASSISTANCE?

If you are the recipient of mental health, substance abuse services, or services related to a developmental disability, or you are the caregiver/guardian of a “consumer” of one of these services, you may have some concerns or questions. The Beacon Center is responsible for oversight of these services provided in Edgecombe, Greene, Nash, and Wilson Counties. Our Agency includes an “Advocacy Department” that is here to assist you with any complaints, questions, or concerns.

You may contact The Beacon Center's Advocacy Department by calling 1-888-399-8021 Monday through Friday between 8:00am and 5:00pm, or complete the form below. Note: You must click the "Click HERE to Send to the Advocacy Dept" button at the bottom of the form to complete the form.

COMPLAINT FORM

Note: An asterisk(*) indicates a required field.

*Consumer Name:
*Telephone Number:
Name of concerned person (if different):
If this is a complaint, please indicate the name of the person or provider whom the complaint is against:

*Please describe your concern, question, or complaint:

Thank you for sharing your concerns with us. Someone from the Advocacy Department will be contacting you.