Provider Tools

Forms

The Los Angeles County Department of Mental Health provides these forms for use by mental health providers employed by the Department and those under contract with the Department.

Clinical Forms

• Assessment
  


• Authorization
  


• Consent
  


• Co-Occurring Disorders


• Progress Note/Medication Note
  


• Miscellaneous

Other/MISC Forms

• Daily Service Logs & Other MIS Forms-Directly Operated


• Daily Service Logs & Other MIS Forms-Contract Providers
  


• Housing
  


• State Outcome Surveys
  


• Welfare & Institutions Code 5150