Forms: DHCS 1000
- DHCS 1011 (11/22) – Quarterly Report for Convulsive Treatments and Psychosurgery Administered
- DHCS 1012 (12/22) – Program Flexibility Form for Mental Health Rehabilitation Center
- DHCS 1013 (12/22) – Program Flexibility Form for Psychiatric Health Facility
- DHCS 1735 Medi-Cal (M/C) Certification Transmittal (09/2014)
- DHCS 1736 Daim Ntawv Pov Thawj Ua Haujlwm Hauv Nroog thiab Ua Haujlwm (09/2014)
- DHCS 1737 Daim Ntawv Tshawb Fawb Txog Tus Kheej Hauv Nroog (09/2014)
- DHCS 1746 Director’s Designee Information
- DHCS 1800 (MH 300): Electroconvulsive Treatment (ECT), Daim Ntawv Pom Zoo Pom Zoo
- DHCS 1800 SP: Electroconvulsive Treatment (ECT), Daim Ntawv Pom Zoo Pom Zoo (Spanish)
- DHCS 1801 (MH 302): Daim Ntawv Thov Kev Ntsuas, Kev Ntsuas, thiab Kev cuam tshuam txog kev kub ntxhov lossis qhov chaw rau kev tshuaj xyuas thiab kev kho mob
- DHCS 1801 SP: Daim ntawv thov txog li 72-teev Kev Ntsuam Xyuas, Kev Ntsuam Xyuas, thiab Kev cuam tshuam txog kev kub ntxhov lossis qhov chaw rau kev ntsuam xyuas thiab kev kho mob (Spanish)
- DHCS 1802 (MH 303): Involuntary Patient Advisment
- DHCS 1802 SP: Involuntary Patient Advisement (Spanish)
- DHCS 1803 (MH 306): Patient Rights Denial – Monthly Talley
- DHCS 1804 (MH 307): Denial of Rights/Seclusion & Restraint – Monthly
- DHCS 1805 (MH 308): Denial of Rights/Seclusion & Restraint – Quarterly
- DHCS 1806 (MH 309): Convulsive Treatments Administered – Quarterly Report (use DHCS 1011)
- DHCS 1807 (MH 560): Kev tso cai tso tawm cov ntaub ntawv tiv thaiv kev noj qab haus huv thiab cov ntaub ntawv tsis pub lwm tus paub
- DHCS 1807 SP: Kev tso cai tso tawm cov ntaub ntawv tiv thaiv kev noj qab haus huv thiab cov ntaub ntawv tsis pub lwm tus paub (Spanish)
- DHCS 1808 (MH 1760): Daim ntawv ceeb toom ntawm Certification for Intensive Treatment Pursuant to Section 5250 (14 DaysIntensive Treatment) los yog 5270.15 (Ntxiv 30 Hnub Intensive Treatment for Grave Disability) ntawm Welfare and Institutions Code
- DHCS 1808 SP: Daim Ntawv Ceeb Toom Txog Kev Kho Mob hnyav Raws li Tshooj 5250 (14 DaysIntensive Treatment) lossis 5270.15 (Ntxiv 30 Hnub Intensive Treatment for Grave Disability) ntawm Welfare and Institutions Code (Spanish)
- DHCS 1809 (MH 1761): Daim Ntawv Ceeb Toom Txog Kev Pom Zoo rau Kev Kho Mob Ntxiv 14 Hnub
- DHCS 1810: Cov Khoom Muag ntawm Lub Nroog 5150 Cov Chaw Tsim Nyog
- DHCS 1811 (MH 5671): Kev tso cai tso tawm cov ntaub ntawv tus neeg mob
- DHCS 1812 (MH 5756): Daim ntawv thov tuaj yeem nkag rau cov neeg xiam oob khab
- DHCS 1813 Application for Licensure – Mental Health Rehabilitation Center (MHRC)
- DHCS 1814 Application for Licensure – Psychiatric Health Facility (PHF)
- DHCS 1819 Mental Health Services Act (MHSA) Prudent Reserve Assessment/Reassessment
- DHCS 1820 MHSA Daim Ntawv Qhia Txog Nyiaj Tau Los thiab Kev Siv Nyiaj Txhua Xyoo thiab Kev Hloov Daim Ntawv Pov Thawj Hauv Nroog
- DHCS 1821 MHSA: Kev Kho Kom Zoo Rau Cov Nyiaj Tau Los thiab Cov Nqi Them Nqi Ua Haujlwm
- DHCS 1822A Ib Xyoo MHSA Daim Ntawv Qhia Nyiaj Tau Los thiab Kev Siv Nyiaj Txhua Xyoo thiab Cov Lus Qhia