Get BHSD forms
Find and download the forms you need from our library. For forms pertaining to medication prescriptions and pharmacy, visit the Medication and Pharmacy page.
| ALOC (v. 8.8.1) |
| Authorization Request Form Directions (September 2024) |
| Authorization Form Glossary (April 2024) |
| Vivitrol Referral Form (Fillable) |
| Substance Use Prevention Services Contract – Quarterly Report |
| Client Status Report (CSR) - download Microsoft Word (Fillable) (March 2020) |
| ECT Referral El Camino Form UM (Dec 2017) |
| TBS Form |
| ICC and IHBS Screening and Service Request Form (Nov 2023) |
| ICC and IHBS Screening Form Info Guide (Nov 2023) |
Contact Information
Behavioral Health Administrative Office