Report Psychiatric Abuse

Click image to read CCHR’s Mental Health Declaration of Human Rights

Citizens Commission on Human Rights is a non-profit, non-political, non-religious mental health watchdog. Its mission is to eradicate abuses committed under the guise of mental health and enact patient and consumer protections. As such, CCHR receives reports from individuals who have been abused after they sought help from psychiatrists and/or psychologists and were falsely diagnosed and forced to undergo unwanted and harmful psychiatric treatments, such as psychiatric drugs which are documented to cause serious side effects, involuntary commitment, or electroshock. CCHR is often able to assist people with filing complaints or work with people’s attorneys to further investigate the person’s case.
If you or anyone you know has been harmed or damaged by psychiatric or mental health “treatment,” please fill out the form below with full particulars and any documentary evidence. All information received is kept in strict confidence.

Information on the Person Abused:

First Name *
Middle Name
Last Name *
Street Address
City
State/Province
Zip/Postal Code
Country
Phone Number
Email Address *
Birth Date of Abused
Or Approx. Age
Approximate Date Abuse Occurred
To

Information on the Person Reporting the Abuse (if different than above):

Relation to the Abused Person
If other, please explain
First Name
Middle Name
Last Name
Street Address
City
State/Province
Phone Number
Zip/Postal Code
Country
Email Address

Type of Abuse That Occurred (Check as many as apply)
Summary of Abuse That Occurred

Facilities Where the Abuse Occurred:

#1 - Facility Type
If other, please explain
Facility Name
Street Address
City
Zip/Postal Code
State/Province
Country
Phone Number
#2- Facility Type
If other, please explain
Facility Name
Street Address
City
Zip/Postal Code
State/Province
Country
Phone Number

Doctors Who Were Involved With the Abuse:

#1 - Doctor First Name
#1 - Doctor Last Name
#1 - Doctor Type
Street Address
City
Zip/Postal Code
State/Province
Country
Phone Number
#2- Doctor First Name
#2 - Doctor Last Name
#2- Doctor Type
Street Address
City
Zip/Postal Code
State/Province
Country
Phone Number

Were Psychiatric Drugs Prescribed?

What Psychiatric Drugs Were Prescribed?

How long were the drugs taken for?
What dosage was prescribed?
#1
#3
#5
#2
#4
#6
Are you/they still taking psychiatric drugs?

Are You Working With an Attorney?

Would Like Assistance in Getting an Attorney to File Charges or Represent Your Case?

Attorney Name
Street Address
City
State/Province
Zip/Postal Code
Country
Phone Number
Email Address
Current Status of Case

What Actions Are You Interested in Taking on This Case?

Other

Preferred Contact

Best time to contact you?
Best way to contact you?