Santa Clara County Government Forms

Form Title	Agency	Topics
General Authorization for Release of Medical Records	Health Plan
Gun Violence Prevention Facsimile Transmission Cover Sheet	Superior Court
Health Education Referral Form (English	Health Plan
Health Screen Questionnaire (HSQ	Behavioral Health
HHS privacy Notice Practices Acknowledgement of Receipt	Behavioral Health
Homeowner Exemption Termination Form	Assessor
Homeowner Exemption Termination Form	Assessor
How to Safely Turn in Firearms and Ammunition	Superior Court
Instructions for Protected Person if Restrained Person has Guns, Firearms or Ammunition	Superior Court
Instruction Sheet for Providers	Health Plan
Invoice/Pricing Template	Superior Court
Judges ADR Program Stipulations and Order	Superior Court
Judicial Administrative Records Request Form	Superior Court
Judicial Arbitrators & CESC Neutrals Claim Form Template	Superior Court
Judicial Custody Conference Statement	Superior Court
Layperson's Declaration Re Legal Capacity	Superior Court
Letter of Interest - PCP	Health Plan
Letter of Interest - Specialist & Ancillary	Health Plan
Loan Modification Settlement Conference Instructions for Litigants	Superior Court
Loan Modification Settlement Conference Stipulation and Order	Superior Court