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These documents are given to clients receiving specialty mental health services that are covered by Medi-Cal.
Consumer Rights and Grievance Process |
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Family Feedback Form - Adult Services |
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Family Feedback Form- Children's Services |
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Flyer: The Family Feedback Form |
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Flyer: Consumer Rights |
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Guide to Medi-Cal Mental Health Services |
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Provider Directory for Specialty Mental Health Assessments |
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Therapeutic Behavioral Services |
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Your Right to Make Decisions About Medical Treatment |
Attention contractors: You are required by law to provide clients with your own HIPPA Notice of Privacy Practices statement.
Read County Notice of Privacy Practices statements
Attention clients: here are the County Mental Health Services Notice of Privacy Practices statements:
Notice of Privacy Practices for Health Care Clients (pdf)
Notice of Privacy Practices for Health Care Clients Acknowledgement (pdf)
Notice of Privacy Practices for Health Care Clients (Español) (pdf)
Notice of Privacy Practices for Health Care Clients Acknowledgement (Español) (pdf)
(Print on yellow paper)
English (pdf)
Spanish (pdf)
English (pdf)
Spanish (pdf)
For questions about these documents, please contact:
Marty Marcus, LCSW
(707)565-4917
Wendy Sanders, LCSW
(707)565-4962