providing mental health &
substance abuse  services for
the people of Alameda County ...  
   

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2000 Embarcadero Cove, Suite 400, Oakland, CA  94606
Phone: (510) 567-8100    Driving Directions

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Clinical Templates - Children's Services

   

The following files are in Microsoft Word template or PDF format. 
Please download the file and save on it on your local computer for future use.

AB 3632  


Assessment Center (non Medi-Cal Mental Health Screening);   


CQRT Authorization  


Initial Assessment  


Medication Support  

  • Sample Medi-Cal Compliant Psychiatric Mental Health Assessment:  PDF    Word
  • Sample Medi-Cal Compliant Psychiatric Mental Health Client Plan:  PDF    Word

Progress Notes  


Treatment Plan  

  • Sample Medi-Cal Compliant MH Treatment Plan:   PDF   Word
  • Medication Support - Forthcoming

TBS     


Community Functioning Evaluation (CFE)  


Other