Font Size
Forms/Brochures
Notice of Privacy Practices
Notice of Privacy Practices (Spanish)
Mental Health Forms
Change of Provider Form (English)
Change of Provider Form (Spanish)
Medical Records Request Form
Release of Information Form
Mental Health Grievance and Appeals Form
Substance Use Forms
Grievances and Appeals
SUD Physical Examination Form
Mental Health Services Act Forms
Grievance Form English
Grievance Form Spanish
Brochures
Modoc Advance Directive (English)
Modoc Advance Directive (Spanish)
Modoc Client Problem Resolution Guide (English)
Client Problem Resolution Guide (Large Print Spanish)
Notice of Privacy Practices (Spanish)
Mental Health Forms
Change of Provider Form (English)
Change of Provider Form (Spanish)
Medical Records Request Form
Release of Information Form
Mental Health Grievance and Appeals Form
Substance Use Forms
Grievances and Appeals
SUD Physical Examination Form
Mental Health Services Act Forms
Grievance Form English
Grievance Form Spanish
Brochures
Modoc Advance Directive (English)
Modoc Advance Directive (Spanish)
Modoc Client Problem Resolution Guide (English)
Client Problem Resolution Guide (Large Print Spanish)
Modoc Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) (English)
Modoc Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) (Large Print Spanish)
Modoc Guide to County Mental Health Services (English)
Modoc Guide to County Mental Health Services (Large Print Spanish)