Behavioral Health

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

81 - 100 of 196 forms

Form Title Topics
Initial Contact Form
Initial Contact Form (Spanish
Initial Contact Log
Intensive Outpatient (Criteria
Interdisciplinary Care Team (ICT) Referral Form
Interdisciplinary Care Team (ICT) Referral Form
Interdisciplinary Notes
Interpretation Service Request
Interpreter Feedback Form
Justification For Out-Of-State Travel
Justification to Continue Treatment Services (Stay Review
Legal Entity File Update (LEFU)
License Examination Preparation Program (LEPP) Application/Agreement
License Examination Preparation Program Reimbursement Form
Medical Behavioral Health Clearance
Medi-Cal Certification Checklist
Medi-Cal Certification Packet Approval Form
Medication From Pharmacy Log
Medication Monitoring Questionnaire
Medication Only Case Log

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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