Office of Regulations: Public Records Act

Procedures for Access to Public Records

Public Records Inspection Request

This form is for your convenience. It is not required to complete this docu

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ment to receive records.
NOTE: DO NOT USE THIS FORM FOR PATIENT INFORMATION OR MEDICAL RECORD REQUESTS

PATIENT INFORMATION

Authorization for Release of Patient Information: MH5671
Submit questions regarding medical records to Email: DMH Contact Us
Voice: (800) 896-4042 (in California) or (916) 654-3890 (outside California)

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CONTACT

NOTE: DO NOT USE THIS CONTACT FOR PATIENT INFORMATION OR MEDICAL RECORD REQUESTS

Public Records Act Coordinator
1600 9th Street, Room 153
Sacramento, CA 95814

Voice: 916-654-2319
Fax: 916-651-9919

DMH.PublicRecordsAct@dmh.ca.gov

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FREQUENTLY REQUESTED DOCUMENTS

• DMH Letters
• DMH Information Notices
• News, Publications & Forms
• California Department of Mental Health Laws and Regulations
• Rulemaking Documents

Mental Health Plan Contract - Fiscal Years 2006-09 (3 year term)

• Boilerplate:

EQRO Contract

• Exhibit A | Attachments
• Exhibit B | Attachment 1
• Exhibits D and E

Informing Materials RFP # 03-73273-000

Application for 72 Hour Detention for Evaluation and Treatment (MH302) PDF Word

Notice of Certification for Additional 14 Days Intensive Treatment (MH1761) PDF Word

Electroconvulsive Treatment (ECT), Informed Consent Form (MH300)

• English Version - PDF | Word
• Spanish Version - PDF | Word

Conditional Release Program

• DIGEST
• Research/Background

Sexually Violent Predators

Risk Assessment Tools

• Static-99
• Static-99 Coding Rules Revised-2003
• Sonar