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

121 - 140 of 196 forms

Form Title Topics
Notice of Adverse Benefit Determination (Financial Liability Dispute: NOABD-F) (Spanish
Notice of Adverse Benefit Determination (Lack of Timely Service: NOABD-D
Notice of Adverse Benefit Determination (Lack of Timely Service: NOABD-D
Notice of Adverse Benefit Determination (Post-Service Denial of Payment: NOABD-C
Notice of Adverse Benefit Determination (Post-Service Denial of Payment: NOABD-C) (Spanish
Notice of Adverse Benefit Determination (Previously Authorized Service Change: NOABD-B
Notice of Adverse Benefit Determination (Previously-Authorized Service Change NOABD-B
Notice of Personal Rights / Civil Rights
Notice of Personal Rights / Civil Rights
Outpatient Criteria
Outpatient Medication Record
Outside Vendor Cost Report
Outside Vendor Services Request Form
Patient Assistance Program Log
Petty Cash Transaction Form
Pharmaceutical Waste Log
Physical Assessment
Physical Assessment (Spanish
Physician Request Form
Policy, Procedure and Form Deletion Request

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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