Forms & Documents > Contractor and Network Provider Policies, Forms and Other Support

Name Description Type Action
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04-26-Provider-Problem-Resolution-Processes File Download
ACA-Act-Section-1557-Final-Rule-on-Nondiscrimination-in-Health-Programs File Download
ACA-Notice-_-Discrimination-is-Against-the-Law-Rev-12-20-16 File Download
Child-Abuse-Elder-Abuse-HANDOUT_Rev-11-29-16 File Download
Child-Abuse-Elder-Abuse-Mandated-Reporter-Notice_Rev-10-18-18 Child and Elder Abuse Mandated Reporter Notice (signature required) File Download
Code-of-Conduct-and-Professional-Ethics-_-Partner-Subcontractor-version-_-Draft File Download
Comprenensive-Privacy-Security-Policy-Procedure-Suite-_-FINAL-for-posting-on-Intranet-3-25-15 File Download
Contractor-Confidentiality-Agreement-Access-to-PHI-December-2018-Final File Download
Contract-Employee-Training-and-Attestation-form-Rev-June-2017 File Download
Cultural-Competence-Summary-August-2016 File Download
DMC-ODS-Residential-Treatment-Provider-Guide DMC-ODS Residential Treatment Provider Guide File Download
Day-Treatment-documentation-requirements_4-20-15 File Download
Drug-Free-Workplace-Policy County of SLO Drug-Free Workplace Policy File Download
Employee-Confidentiality-Statement-Contractor-and-NWP Employee Confidentiality Statement _ Contractor and Network Provider Version - All new employees must sign this agreement. (HIPAA Compliance) File Download
Exhibit-G-Attachment-I-2014-17 File Download
Fraud,-Waste-and-Abuse-Prevention-Policy-2017-Edits-FINAL File Download
Health-Agency-Privacy-Security-Policy-Procedure-Training-FINAL-for-posting-on-Intranet-3-25-15 HIPAA Privacy and Security Policy _ Contractor and Network Provider Version File Download
Residential-Treatment-Center-Documentation-Requirements_5-26-15 File Download
San-Luis-Obispo-County-Health-Agency-Compliance-Plan-_-Contractor-and-Network-Provider-_-Rev-9-21-17 File Download
Very-Infrequent-Temp-Help-Training-and-Attestation-form-Rev-June-2016 File Download
Form 815 - Universal HIPAA Authorization - English Form 815 - Universal HIPAA Authorization Link External Link
Form 815 - Universal HIPAA Authorization - Spanish Form 815 - Universal HIPAA Authorization - Spanish Link External Link