AQIS-CYPBH Downloads

All consumer posters and brochures for Medi-Cal clinic sites are downloadable from this page. 

Please contact AQIS CYPBH at
cysqrt@ochca.com or call (714) 796-0123 for any questions.

Patient's rights posters and brochures are in downloadable format at the
 
Patients' Rights Advocacy Services website. 

Please contact
Patients Rights Advocacy Services at (714) 834-5647 for any additional questions.

Clinical Information

  

CYPBH Medication Consents (F346-7921)

Psychiatrist Information/Downloads

                (Effective 1/1/2018)

Medi-Cal Information (For Distribution to Consumers)


Medi-Cal Mental Health Plan - Provider Directory  updated12/31//2018

BHS Medi-Cal Provider Information Page


EPSDT-TBS Brochures
(MC-003-DHCS)

Advance Health Care Directives (F346-705)

Mental Health Plan Intake/ Advisement Checklist (F346-753) (October 2017)

Grievance or Appeal Form (F346-706)  (October 2017)

Grievance & Appeal Process Posters (October 2017)

Medi-Cal Handbook

HIPAA

Involuntary Detention Information 

NPP Acknowledgement
(F042-01.1994) County Intranet Only

Authorization to Use and Disclose Protected Health Information (F346-531B)