Client Forms

Additional Downloads and Resources

Highlighted Downloads

Mental Health Plan – Beneficiary Handbook

Countywide Provider Directory

Department of Mental Health Links

Additional Documents

Notice of Privacy Practices (English)

Notice of Privacy Practices (Spanish)

Grievance Appeal Form (English)

Grievance Appeal Form (Spanish)

Grievance Appeal Procedures (English)

Grievance Appeal Procedures (Spanish)

Request to Change Provider (English)

Request to Change Provider (Spanish)

HIPAA Complaint Forms (English)