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Health Agency | Behavioral Health

County of San Luis Obispo

Home » Departments » Health Agency » Behavioral Health » Forms & Documents » Quality Support Services » Documentation and SmartCare Resources » SmartCare Resources » Paper Forms » Mental Health and Drug and Alcohol Services Forms- English » NOABD_English

NOABD_English

  • NOABD Authorization Delay
  • NOABD Delivery System
  • NOABD Modification
  • NOABD Payment Denial
  • NOABD-Denial
  • NOABD-Termination
  • NOABD-Timely Access
  • SLOBHD NOABD-Attachments English

Frank Warren

Interim Behavioral Health Director

Director of Health Agency | Behavioral Health: Frank Warren, Interim Behavioral Health Director

Take me to:

  • Advance Beneficiary Notice (ABN) English »
  • ASCMI-Auth to Share Confidential Member Info »
  • Attestation for Requested Use or Disclosure of PHI related to Reproductive Health Form »
  • BH-Consent-for-Injection-Therapy »
  • BH-Progress-Report-7-31-23 »
  • ClientAccess »
  • ClientAccessDetermination »
  • Client-Information »
  • Consent-for-Photo »
  • Consent For Telehealth »
  • Consent for Text »
  • Consent to Treat »
  • Coordinated Care Consent »
  • Consent for Email »
  • Crisis Assessment Document Fillable PDF »
  • Crisis Assessment Document PDF »
  • Informed-Consent-for-Medication »
  • Notification-of-License-Status »
  • Open-Payments-Database-Notification »
  • Patient-Rights-and-Responsibilities »
  • Recovery-Residence-Authorization-Fillable-PDF »
  • Release of Information »
  • Release of Information Multi-Party »
  • Release of Information Multi-Party Criminal Involved or Court Mandated Programs »
  • Safety-Plan »
  • BH Cost Agreement »
  • Tarasoff-Fax »
  • Tarasoff-Letter-Template »
  • Tarasoff-Notification »
  • Tarasoff-worksheet »
  • TMHA Application to ATP and Community Housing v 10.9.2024 »
  • Your-Rights-At-a-Glance »
  • NOABD_English »

Please contact our access line at 1 (800) 838-1381 for information or to schedule an appointment.

All services are available in Spanish.

No clients are denied access to services due to inability to pay. Discounted fees and sliding fee schedules are available based on family size and income.

The Behavioral Health Department is licensed by the State Department of Health Care Services.

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County Government Center

1055 Monterey Street, San Luis Obispo, CA 93408

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County Phone Directory: 805-781-5000

(Toll free: 800-834-4636)

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