Skip to main content

COVID-19 Updates: Get the latest public information related to coronavirus disease 2019 (COVID-19) at

The Health Agency is actively responding to COVID-19 and continuing to provide other essential services. Please see updates from Animal Services, Behavioral Health, Public Guardian and Public Health

Return to the top of the page

Search Lobby Client Information Center

Forms & Documents > Contractor and Network Provider Policies, Forms and Other Support > Lobby Client Information Center

Name Description Type
A-1-What-Are-My-Rights-English File
A-3-or-B-2-Provider-list-Revised_12-31-2014 File
A-4-What-Are-My-Rights-Revised-SPANISH File
B-1-(D-A-Only)-Triple-Notice-Posting-for-D-A-Services-Information-Center File
B-4-Informing-Materials-Interpreter-and-Bilingual-forms-available File
C-1_Consumer-Request-Form-INSTRUCTIONS-English File
C-2-Consumer-Request-Form-Engl-2015 File
C-3-Consumer-Request-Form-Span-2015 File
C-4_Consumer-Request-Form-INSTRUCTIONS-Spanish File
C-4_Consumer-Request-Form-INSTRUCTIONS-Spanish File
Plan-o-Gram-_-MH-Lobby-Information-Center_1-24-19 Document layout for Client Information Center Wall Mount (Mental Health Provider) File
Plan-o-Gram-_-MH-Lobby-Information-Center-DA-Site-Certification_Rev-Jan2019 Document layout for Client Information Center Wall Mount (Substance Use Disorder Provider) File