Report psych abuse | The Citizens Commission on Human Rights Canada

If you or someone you know has been treated as a psychiatric patient and given psychotropic drugs, electroshock, or any other form of psychiatric treatment and you would like to fill out a psychiatric abuse report form you may do so here.

You may download, print and mail the form to us, or you can fill out our online form below.

Click HERE to download the report form

Click HERE to download the general release form (required for us to help)

Mail completed forms to:

CCHR Canada

#304-27 Carlton St.

Toronto, Ontario

M5B 1L2

ONLINE FORM

Please note that CCHR Canada keeps this information strictly confidential and does not share any of your information without your permission and direction, however when sending information over the internet there is always a degree of risk. If you prefer to print this form and send via Canada Post for better security, you may do that as well.

Please fill out all information as thoroughly as possible.

Your Name(required)
Email address(valid email required)
Mailing Address
Daytime phone number
Evening phone number
ID (such as a drivers license)
Are you the abused person?
Yes No
If no, what is your relationship to the abused person?
What abuse would you like to report?
What were the names of the psychiatrists, psychologists and/or psychiatric facility involved?
Was the abused person administered drugs, electroshock or any other "therapy"? How often or how much?
Was the abused person put into restraints, seclusion or threatened with physical harm? If so, what happened?
Has the victim been discharged? If so, what was the reason given?
Have you or the victim contacted an attorney? If yes, whom?
Have you or the victim filed any complaints on these abuses? If yes, with what agencies or organizations?
Please give a very brief list of the major events related to this abuse, starting from the earliest interaction and ending with the most recent. This is a general timeline only, we will get more details as needed.
Is there anything else you would like to communicate to us?
If you have any supporting documents which have an electronic version of (typed documents, scans of other documents, etc.) you may upload them here