Behavioral Health

San Bernardino County, CA

Official Website: http://wp.sbcounty.gov

The County of San Bernardino Behavioral Health Programs strive to be recognized as a progressive system of seamless, accessible, and effective services that promote prevention, intervention, recovery and resiliency for individuals, families and communities.

Forms & Documents

Browse all Behavioral Health government forms

21 - 40 of 196 forms

Form Title Topics
Caregiver's Authorization Affidavit (Spanish)
Care Necessity
Change of Provider Request Form
Change of Provider Request Form
Change of Provider Request Form
Change Order Request Routing Slip
Charge Data Correction Invoice
Charge Data Invoice (JJOP
Child/Adolescent Clinical Assessment
Child/Adolescent Clinical Assessment-CANS-SB
Child/Adolescent Psychiatric Evaluation and Update
Children's Fund Referral Request Form
Children's Interagency Authorization to Exchange Confidential Health Information (PHI)
CHILDREN'S INTERAGENCY AUTHORIZATION TO EXCHANGE CONFIDENTIAL HEALTH INFORMATION (PHI)
Client Admission Agreement
Client Admission Agreement (Spanish
Client Assessment
Client Assessment Update
Client Episode Summary (Closing
Client Episode Summary (CSI

Contact Information & Office Locations

1 contact point

Main Office

Address:
303 E. Vanderbilt Way
San Bernardino, CA 92415-0026

Phone numbers:
  • (909) 388-0801
Fax numbers:
  • (909) 890-0435

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