Mendocino County, CA
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24/7 Toll Free Crisis LineIf you are experiencing a mental health crisis and need help right away, call: 1-855-838-0404(A danger to oneself or others) Mendocino County Mental Health Plan (MHP) offers free Language Line, interpreter assistance, American Sign Language, and TTY/TDD services for beneficiaries requesting or accessing services. These services may be requested at any Mental Health Plan Provider site or by calling the Mendocino County Access Line: 1-800-555-5906. |
Linea de Crisis Llamada Gratis 24/7
Si usted esta experimentando una crisis de salud mental y necesita ayuda inmediata, llame:
1-855-838-0404(Un peligro para uno mismo u otros) El Plan de Salud Mental del Condado de Mendocino(MHP) ofrece una linea gratis de Idiomas, asistencia de interpretes, Lenguage de Signos Americano, y servicios para personas sordas, servicios para beneficiarios que requieran o tengan acceso a los servicios. Estos servicios pueden ser requeridos con cualquier proveeder del Plan de Salud Mental o llamondo al 1-800-555-5906. |
Mental Health Information for Providers
Forms
Release of Confidential Information Forms (ROI)
| English |
Spanish |
|---|---|
| Multi Agency Release of Information (ROI) | |
| Release of Information - Second Party (ROI) | La Autorizacion Para Divulgar o Recibir Informacion Confidencial |
| AB109 Release of Information (ROI) | |
Therapeutic Behavioral Services (TBS)
| English |
Spanish |
|---|---|
| TBS Request for Authorization | |
| Acknowledgment of TBS-EPSDT Notification | Recibo Por Servicios Tempapeuticos de Conducta (TBS/EPSDT) |
| TBS Assessment and Plan | |
| TBS Monthly Review & Transition Plan | |
| Early & Periodic Screening, Diagnosis & Treatment (EPSDT) Brochure | Detección, Diagnostico y Tratamiento Oportunos y Periódicos (EPSDT) el Folleto |
General Policy and Procedures
- Philosophical Principles - Goals of Mendocino County Mental Health Program
- Department Philosophy Regarding Medication
- Cultural and Linguistically Responsive Services
- Mental Health Plan Hours of Operation
Administration Policies
- Under Revision
Treatment Services
- Point of Authorization Policy and Procedure
- CANS Youth User Guide
- Staffing and Provider Screening, Verification, and Credentialing
Quality Assurance and Performance Improvement
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