Patient Complaints and Grievances Form

AcariaHealth strives to provide you with quality products and services that are consistent with our philosophy that caring is at the heart of everything we do. As stated in the Bill of Rights and Responsibilities, you have the right to expect quality customer care and pharmacy services. You also have the right to voice your concerns, grievances, or complaints about our services without fear of discrimination or disrespect.

If you have complaints or concerns about our services, we ask that you contact us immediately by completing this form, calling us at 800.511.5144 or visiting our website at You may also report concerns about safety or quality of care directly to The Joint Commission at their toll free telephone number 800.994.6610 or URAC at  

Complaints and grievances will be resolved as quickly as possible, but no later than 30 calendar days, after we receive the concern. Grievances made in writing will be responded to in writing.

Thank you in advance for bringing your concern to our attention as it will assist us in our continuing effort to improve the quality of our services.