Health Services
Health Services
Find Services
Administration Services
Behavioral Health Services
Primary Health Services
Public Health Services
Care for The Whole Person
Community Health Planning and Promotion/Advocacy
Culturally Responsive Care
Education
Family Services
Forms and Applications
Health Care Delivery / Access
Health Care Services
Health Promotion
Older Adult Services
Prevention
Read About Services
Explore The Department
Explore the Department Home
About Us
Who We Are
Contact Us
Locations
Jobs and Careers
Updates
Work with Us
Divisions
Public Health
Behavioral Health
Primary Health
Administration
Public Health
Public Health Home
About Public Health
Contact Us
Updates
Jobs and Careers
Locations
Who We Are
Public Health Laws
Performance & Insights
Public Health Services
Disease Control, Surveillance and Preparedness
Community Health Promotion
Maternal, Child, and Family Services
Public Health Administration
Sacramento County Emergency Medical Services Agency
Program A-Z Listing
Disease Reporting
Public Health Provider Resources
Boards and Committees
EMS Advisory Group (EMAG)
EMS Technical Advisory Group (TAG)
EMS Medical and Operational Advisory Committee
Medi-Cal Dental Advisory Committee
Maternal, Child, and Adolescent Health Advisory Board
Public Health Advisory Board
Resource Library
Behavioral Health
Behavioral Health Home
About Behavioral Health
Contact Us
Updates
Events
Jobs and Careers
Locations
Who We Are
Members' Handbook
Mental Health Services Act
Patients' Rights & Privacy Rights
Problem Resolution
Performance & Insights
Behavioral Health Services
Adult Mental Health
Behavioral Health Services Act (BHSA)
Child and Family Mental Health
Consumer Self Help Office of Patient's Rights
Court & Justice-Involved Collaborative
Crisis Services
Cultural Competence and Ethnic Services
Entry Point
Homeless Information Resources
Mental Health Treatment Center (MHTC)
Peer Support Specialists
Substance Use Prevention and Treatment (SUPT)
Behavioral Health Provider Portal
Boards and Committees
Adult Peer Support Committee
Behavioral Health Commission
Family, Parent, and Caregiver Peer Support Committee
Sacramento County Methamphetamine Coalition
Utilization Review
Youth Advisory Board
Youth Peer Support Committee
Resource Library
Primary Health Services
Primary Health Services Home
About Primary Health Services
Contact Us and Locations
Updates
Events
Jobs and Careers
Who We Are
Performance & Insights
Primary Health Services
Correctional Health Services (CHS)
County of Sacramento Primary Care Center Pharmacy
Sacramento County Health Center
Boards and Committees
Sacramento County Health Authority Commission
Sacramento County Health Center Co-Applicant Board
Public Health Advisory Board
Resource Library
Administration
Administration Home
About Administration
Contact Us and Locations
Jobs and Careers
Who We Are
Work with Us
Administration Services
Contracts Unit/Contractor Bidding Opportunities
Internships
Social Health Information Exchange (SHIE)
Submit a Public Records Act Request
Volunteer Opportunities
Boards and Commissions
Sacramento County Health Authority Commission
DHS
Behavioral Health Services
Behavioral Health Provider Resources
Forms & Documents
Forms & Documents
If a required document is not on this webpage, please email
zelidone@saccounty.gov
.
Behavioral Health Services Forms & Documents
Staff Registration and Credentialing Forms
Mental Health Services Forms & Documents
Behavioral Health Services Screening and Coordination Service Request Forms
Acknowledgement of Receipt
Appeal Forms
Brochures
Child and Family Forms
Grievance Forms
Medication Forms
Members' Problem Resolution Posters
Problem Resolution Guides
Psychiatric Advance Directive (PAD) Forms
Request for Change of Provider Forms
Service Verification
Suggestion Forms
Uniform Method of Determining Ability to Pay (UMDAP) Forms
Other Forms
Substance Use Prevention and Treatment Services Forms & Documents
Acknowledgment of Receipt
Advance Medical Directive
Appeal Forms
Drug Medi-Cal Organized Delivery System (DMC-ODS) Member Handbook for Beneficiaries
Grievance Forms
Language Assistance Poster
Member Rights & Problem Resolution Guide
Member Suggestion
Notice of Privacy Practices Brochures
Problem Resolution Poster
Substance Use Prevention and Treatment Brochure