Referrals & Communication to Other Departments

Referrals:

Service Request Tracking System (SRTS) Form – MH 779 (Effective 8/31/26)
Full-Service Partnership Intensive Case Management (FSP-ICM) Referral Form – MH 778 (Effective 9/1/26)
Child and Youth Full-Service Partnership Referral Form – MH 777 (Effective 7/1/26)
Day Treatment Intensive (DTI) Referral Form – MH 776 (Effective 7/1/26)
Parent Child Interaction Therapy (PCIT) Referral Form – MH 774 (Effective 7/1/26)
Multisystemic Therapy (MST) Referral Form – MH 773 (Effective 7/1/26)
Functional Family Therapy (FFT) Referral Form – MH 772 (Effective 7/1/26)
Clubhouse Service Referral Form – MH 770 (Effective 7/1/26)
TMS Referral Form for SMHS Clients – MH 734 (Effective 4/21/26)

Communication to Other Departments:

Medi-Cal Managed Care Plan Contact List
Treatment Update to DCFS for Children in Need of Urgent Mental Health Services
Transition of Care Form – DHCS 8765B

Reference Guide:

DMH SRTS Referral Location Quick Reference Guide – Download