Behavioral Wellness

Santa Barbara County, CA

Official Website: https://www.countyofsb.org/behavioral-wellness

The mission of the Department of Behavioral Wellness is to promote the prevention of and recovery from addiction and mental illness among individuals, families and communities, by providing effective leadership and delivering state-of-the-art, culturally competent services.

Forms & Documents

Browse all Behavioral Wellness government forms

21 - 40 of 95 forms

Form Title Topics
Client Episode Summary
Client Registration Payor - English
Clients' Rights
Clinician's Gateway- Addendum/Billing Change Procedures
CMS855i Initial Request
CMS855r Reassignment
Consumer Admission & Diagnosis
Consumer Contact
Consumer Discharge
Consumer Guarantor
Consumer Payor Plan/Insured
Consumer Profile
Consumer Screening
Consumer UMDAP
Contract Providers Exit Checklist
Cultural Competency Questionnaire
DHCS SAPT FY 17-20 Agreement 17-94159
Disclosure of Ownership or Controlling Interest Form
DMC-ODS Residential Medical Clearance Form
DMC-ODS Sign-In Sheet

Contact Information & Office Locations

1 contact point

Address:
315 Camino del Remedio
Santa Barbara, CA 93110

Phone numbers:
  • (805) 681-5220
  • (805) 681-4777 (Beneficiary Concerns)
  • (805) 681-5359 (Medical Records)
Fax numbers:
  • (805) 681-5262

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