Partners4Wellness is a private corporation under contract with the County of Orange and, as such, in compliance with all state and county laws and regulations. Any client who feels they may have reasonable cause for complaint may file a grievance form available through our Program Manager. All grievances will be reviewed by an executive committee and quality control advisor and processed through the following channels:
1. Partners4Wellness, Program Manager
Tondra Cicali, MEd
15300 Barranca Pkwy Suite 150
Irvine, CA 92618
(949) 770-1191
2. Partners4Wellness, CEO
Phillip Falcetti, MPH
15300 Barranca Pkwy Suite 150
Irvine, CA 92618
(949) 770-0847
3. Department of Health Care Services
Substance Use Disorder Compliance Division
Driving-Under-the-Influence (DUI) Section
P.O. Box 997413, MS 2602
Sacramento, California 95899-7413
(916) 322-2964
Client Signature:_________________________________ Date:_____________
I hereby certify that I have been given a copy of this form.
Counselor Signature:_____________________________ Date:_____________
I hereby certify that I have given a copy of this form to the client.