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.
- Diagnosis Information Form (Effective 10/1/15)
- Juvenile Justice Transition Aftercare Services (JJTAS) Referral Form
- Lanterman Petris-Short (LPS) 5150-5585 Assessment Form
- Triage
- Assessment
- Client Treatment Plan
- Authorization
- Consent
- Co-Occurring Disorders
- Diagnosis Information
- Progress Note
- Medication Notes
- Juvenile Justice
- Miscellaneous
- Outcome Measures
- Clinical Forms Inventory (Revised 8/12/16)
- Clinical Form Usage for Initial Contacts with Individuals/Clients
- Referrals & Communication to Other Departments
- Revised Medication Forms and Supplemental TBS Assessment Edition 2012-02
- Standardized Abbreviations List
- Out of County
- Service Request Tracking System (New)
- Service Request Log (Revised 07/01/17)
- NON-DMH Prescriber Credentialing
