Behavioral Health Director
Please contact our access line at 1 (800) 838-1381 for information or to schedule an appointment. All services are available in Spanish.
Licensed by the State Department of Health Care Services.
Accessibility: If you use assistive technology and/or experience accessibility issues with this content, please let us know. We will make reasonable efforts to accommodate your needs.
DAS Consent Form - Criminal Justice
Use this form for clients that are court-ordered into treatment.
DAS Consent Form - Multi Purpose: Use this form for most clients that are not court-ordered into treatment. Used for sharing and disclosing of health information to allow coordination of care/Treatment/Referrals between any NON-treatment provider.
DAS Formulario de consentimiento de uso multiple -
Use esta forma para la mayoría de los clientes que no están ordenados por la corte para recibir tratamiento. Por defecto es para todos los propósitos y toda la información del cliente.
DAS Consent Joint Records (Revised 06-01-21): Use this form for ongoing disclosure and sharing of health information to allow coordination of care between any treatment provider.
Use this form to allow San Luis Obispo County Behavioral Health to bill insurance carrier or other payer to obtain payment/reimbursement for care
DAS Consent Joint Records (Revised 06-03-21): Use this form for ongoing disclosure and sharing of health information to allow coordination of care between any treatment provider.
Form 815 - Spanish Version
DAS Probation Department Initial Referral Consent - This consent is only to be used by Probation Department when referring clients to DAS.