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Administrative Tools

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Home For Providers Administrative Tools Administrative Forms

Administrative 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.

  • Uniform Patient Fee Schedule – 1989
  • Fillable PFI (Revised Sep. 2023)
  • Invoice Form (Revised Feb. 2025)
  • LE Subprogram Schedule
  • Housing
  • Welfare & Institutions Code 5150
  • Contract Exhibits
  • Contract Attachments

 

Related Links
  • Placeholder

    Restricted Use and Disclosure of PHI

  • DMH Secure Email Recipients Guide

    DMH Secure Email Recipient's Guide

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    California's Medi-Cal Program

    California Department of Health Services

  • Placeholder

    California Medi-Cal: Provider Manual

Related Information

Trainings

Central Business Office (CBO) Dispatch Bulletins

Resources: Government

  • California Mental Health Services Division
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