• Get 24/7 help: LACDMH Help Line (800) 854-7771
  • or 988
  • Toggle Google Translate
  • Facebook
  • Twitter
  • Instagram
  • Youtube
Department of Mental Health
  • About DMH
    • LACDMH Leadership Team
    • Strategic Plan
    • Service Areas
      • Service Area Leadership Teams (SALT)
      • Service Area 1
      • Service Area 2
      • Service Area 3
      • Service Area 4
      • Service Area 5
      • Service Area 6
      • Service Area 7
      • Service Area 8
      • Service Area Navigators
    • Health Neighborhoods
    • Mental Health Services Act (MHSA) / Behavioral Health Services Act (BHSA)
      • MHSA/BHSA Announcements
      • MHSA/BHSA Stakeholder Materials
      • Underserved Cultural Communities (UsCC)
    • Behavioral Health Commission
    • Board Correspondence
    • Dashboards
    • Press Center
    • Contact Information
    • Org Chart
  • Our Services
    • Featured Programs
      • Alternative Crisis Response (ACR)
      • CARE Court Information and Resources
      • Hollywood 2.0
      • School Based Community Access Point (SBCAP)
      • School Threat Assessment Response Team (START)
    • Services
      • Veterans
      • Children (0 – 15 yrs)
      • Child Welfare Division
      • Adults
      • Transition Age Youth (16 – 25 yrs)
      • Older Adults Services
      • Countywide Services
      • Court Programs
      • Disaster Services Administration
      • Public Guardian
    • Resources
      • Mental Health Resources
      • Accessing Your Medical Records
      • Privacy Of Your Health Records
      • Patients’ Rights Office
      • Consumer and Family Affairs
      • Forms
      • Housing
      • Developmental Disabilities Resources
      • Employment & Education
      • Consumer Perception Survey (CPS)
      • Human Subjects Research Committee (HSRC)
      • Other Resources
  • For Providers
    • PROVIDER CENTRAL
    • Policies, Procedures and Parameters
    • Administrative Tools
      • Administrative Information for Clinicians
      • Provider Manuals & Directories
      • Administrative Forms
      • Quality Assurance
      • Quality Improvement
      • Cultural Competency Unit
      • Contract Opportunities
    • Clinical Tools
      • Clinical Forms
      • Pharmacy
      • Training & Workforce Development
      • Student Professional Development Program
      • Service Request Tracking System (SRTS)
      • Outcomes
  • Event Calendar
  • Get Help Now!

Select Page

Clinical Tools

Clinical FormsPharmacy and Laboratory ServicesTraining & Workforce DevelopmentStudent Professional Development ProgramClinical ResourcesService Request Tracking System (SRTS)
Home For Providers Clinical Tools Clinical Forms Clinical Forms-Medication Notes

Clinical Forms-Medication Notes

Medication Notes

  • Medication Note  – MH 758
  • Consultation & Client-Specific Furnishing Protocol – MH 696
Related Information

For Clinical Forms Questions, please contact
Quality Assurance
QA@dmh.lacounty.gov

 

  • LACounty.gov
  • Adobe Reader
  • Site Map
  • Notice of Privacy Practices
  • Website Privacy Statement
  • User Rights
  • Accessibility
  • Disclaimer
  • Text-Only
  • LA County Emergency Notification
  • Press Center
  • Contact Information
  • Website Feedback
Website Feedback
Please enable JavaScript in your browser to complete this form.
Feedback Reason *
Loading