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Medi-Cal Informing Materials
These documents are given to clients receiving specialty mental health services that are covered by Medi-Cal.
- Consumer Rights and Grievance Process (pdf)
(Print on blue paper) - Consumer Rights and Grievance Process - Spanish (pdf)
(Print on blue paper) - Your Right to Make Decisions About Medical Treatment (pdf)
(Print on tan paper) - Your Right to Make Decisions About Medical Treatment - Spanish (pdf)
(Print on tan paper) - Provider Directory for Specialty Mental Health Services (pdf)
(Print on white paper)
Attention contractors: You are required by law to provide clients with your own HIPPA Notice of Privacy Practices statement.
Attention clients: here are the County Mental Health Services Notice of Privacy Practices statements:
- Notice of Privacy Practices for Health Care Clients (pdf)
- Notice of Privacy Practices for Health Care Clients Acknowledgement (pdf)
- Notice of Privacy Practices for Health Care Clients (Español) (pdf)
- Notice of Privacy Practices for Health Care Clients Acknowledgement (Español) (pdf)
For questions about these documents, please contact:
Marty Marcus, LCSW
(707)565-4917
Wendy Sanders, LCSW
(707)565-4962
Some documents on this Web Site are saved in Adobe Acrobat format. If you do not own a copy of Acrobat Reader, you may download it for free.