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

161 - 180 of 196 forms

Form Title Topics
Refrigerator Temperature Log
Release and Hold Harmless Agreement
Request for Cost Center Number
Request for Taxpayer Identification Number and Certification (IRS
Request for Translation & Interpretation Services (RTIS) Form
Request for Verification of Veterans Status for Mental Health and/or Substance Abuse Services
Request to Waive Consumer's Responsibility to Pay for Medications
Requisition for Bulk or Stock Medication
Residential Criteria
Return Medication to Pharmacy Log
Sample Medication Log
Schedule Change Request
Scheduling Template
Second Service on Same Day Progress Note
Service Authorization Request
Service Team Actions
Social Model Residential Detox
Stamp Order Form
State Pre-Audit Chart Review Audit Tool
Substance Use Disorder and Recovery Services Intake Assessment

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

Have Questions About This Agency?
Ask An Expert For Help:

Questions and comments are moderated. Minimum of 10 characters.

All questions and comments are moderated and publicly viewable. Please do not post private or sensitive information such as names, addresses, phone numbers, emails, confidential financial and legal details.

Login or sign up to submit questions