Department of Mental Health Forms and Office Locations – Government Agency in Los Angeles County, CA

21 - 40 of 58 forms

Form Title	Topics
20-01: Walk-In, ICARE, Diagnosis, Disclosure of Physician Probation
20-02: Notice to Psychotherapy Clients
20-04: NET, ICC Eligibility Form, Supplemental IHBS, TFCS, TBS Assessments, NOABDs
21-02: Updated ICC Eligibility, IHBS Supplemental Assessment and TFCS Supplemental Assessment
Adult & Child Assessment Forms, CCCP, Tier Two, Older Adult FCCS
Approved Abbreviations
CANS 0-5
CANS IP MH 735
Caregiver’s Authorization Affidavit Form
Clinical Forms Bulletins - Department of Mental Health
Clinical Forms Inventory
Consent for E-mail,Client Instructions, Tier 2 Clinical Transfer
Consent of Minor & Consent for Observation
Continuity of Care Request Form: English
Continuity of Care Request Form: Spanish
Exchange of Information, Transfer to SA Navigator, Revised Referral Response
Form Usage Chart for Initial Contacts with Clients
Medication Support Services Forms
Mental Health Triage
Mental Health Triage Forms

All 2 contact points

Address:
510 S. Vermont Ave
18th Floor
Los Angeles, CA 90020

Phone numbers:

Emails:

Address:
550 South Vermont Ave.
Los Angeles, CA 90020

Phone numbers:

Fax numbers:

Emails: