Grievance Forms patient form

For your convenience, we are providing our downloadable grievance forms so you can complete the form in advance.

You may fax, email or bring in the completed forms to our office.

Grievance Policy

Smith Centers grievance procedure is designed to provide a means for those applying for Smith Centers’ services and clients receiving services to bring a grievance to the attention of Smith Centers and to reach a speedy resolution

Click here to view our grievance policy (pdf)

Smith Center for Infectious Diseases and Urban Health
310 Central Avenue, Suite 307
East Orange, NJ 07018

Email – info@smithcenternj.org
Fax –  973-395-4120