Irby Psych — Irby Psychological Services, LLC

Feedback/Grievances

If any staff members or current/past clients have feedback that they would like our Human Resources Department to address, please complete the form or reach out by contacting us at the email address below.

Email
humanresources@irbypsychservices.net

Voice/Text
(662)-228-0130

eFax

(678)-868-2843

Name

Put NA if you would like to remain annonymous.

First Name

Last Name

Put NA if you would like to remain annonyons.

Staff Member

Please list the technician, BCBA, or other IPS employee you have a specific grievance with. If the grievance is not with a specific person, please put NA.

Concern

Please describe the grievance. Please put NA if not about a specific employee.

System Concern

Please list the specific system you have a specific grievance with, e.g. scheduling, billing, etc. If the grievance is not with a specific system please put NA.

Describe System Concern

Please describe the grievance. If the grievance is not with a specific system please put NA.

Do you want us to contact you about our resolution?

Yes

Would you like to schedule a meeting?

Yes

With whom would you like a meeting?