Feedback Form

Do you have a compliment or complaint? In order to effectively address your feedback or concerns, please fill out the form below.

Written feedback may also be mailed to the following address:

Arapahoe House Feedback and Grievance Center
77 W 5th Ave

Denver CO 80204

Or, call 303.412.3696

Program or location that this feedback is in reference to

Please describe your feedback or concern

We will always strive to address your feedback effectively. If you would like for us to follow up with you regarding your feedback, please provide your contact information here

Your full name (first, last)

AH ID#

Mailing address

Your daytime phone number

Is it ok to leave a message?

Yes

Please check which one applies to you

A current or past client of Arapahoe House

Attempting to enter treatment at Arapahoe House

Family member/friend of someone who is/was a client at Arapahoe House

Family member/friend of someone who is/was seeking services at Arapahoe House

Representative of an agency referring someone into services at Arapahoe House

Other (please describe below)

If you selected “other” above

If you are reporting on behalf of another client and wish to provide his/her name, please do so here

Client’s full name (first, last)

AH ID#

Leave this field blank

Feedback Form

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