Provider Tools

Brochures and Education Tools

Best Practice Intervention Strategies Fact Sheets

• Alcohol and Other Drug (AOD)
• ADHD
• Adjustment Disorder
• Anxiety
• Bipolar
• Depression
• OCD
• ODDCD
• PTSD

Handbooks and Manuals

• California Health & Wellness Provider Manual

Forms

Outpatient Treatment Request (OTR) Forms

• Outpatient Treatment Request Form
• Outpatient Treatment Request Tips Sheet
• Applied Behavior Analysis (OTR) Form

Psychological Testing Forms

• Psychological or Neuropsych Testing Authorization Request Form

Single Case Agreement

• SCA Request Forms are no longer available online. Please contact clinical services at (877) 658-0305 for information about SCA.

Provider Change Form

• Provider Change Form

Professional Roster

• Professional Roster

PCP Communication Form

• Primary Care Provider (PCP) Communication Form