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A member complaint or grievance may relate to quality of care, access to services, provider/staff attitude or any number of other reasons.  If a member wants to file a grievance, please have them complete one of these two forms and return it to Kaiser Permanente as instructed on the form.  Providers are obligated to make these forms available upon request.

Medicare Grievance Form*
For use by Medicare-eligible Kaiser Permanente members (e.g., Kaiser Permanente Senior Advantage, Medicare Cost)

Non-Medicare Grievance Form*
For use by all other Kaiser Permanente members.

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