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Attachment C PSA with DOCS 2016for CDSSMEDICAL PRIVACY AND SECURITY AGREEMENTCounty between the California Department of Health Racial Services and the , ___, Department of ___Preamble California
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www.dhcs.ca.gov/services/mh/attachment_c_supportive_services is needed by individuals or organizations who are seeking or providing supportive services related to mental health. This form is typically used to gather necessary information and documentation for eligibility determination, program enrollment, or service provision.
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wwwdhcscagovservicesmhattachment c supportive services are services provided to support individuals in need of mental health services.
Providers of mental health services are required to file wwwdhcscagovservicesmhattachment c supportive services.
To fill out wwwdhcscagovservicesmhattachment c supportive services, providers must report on the services provided and individuals served.
The purpose of wwwdhcscagovservicesmhattachment c supportive services is to track and monitor the delivery of mental health services.
Providers must report the type of services provided, the number of individuals served, and any outcomes or goals achieved.
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