Behavioral Health Staff: Forms & Policies
Psychiatry Residency Program Procedures for Resolving Performance and Conduct Problems: 93-06
Medical Psychiatric
Policy: 93-06 Psychiatry Residency Program Procedures for Resolving Performance and Conduct Problems
Psychological Testing – Referral Protocol: 98-18
Admission Referral
Policy: 98-18 Psychological Testing – Referral Protocol
Attachment A: Referral for Psychological Evaluation
Psychotherapy Notes: 03-10
HIPAA
Policy: 03-10 Psychotherapy Notes
Quality Improvement Compliance Review of Outpatient Provider Services: 98-11
Compliance
Policy: 98-11 Quality Improvement Compliance Review of Outpatient Provider Services
Attachment A: Private Provider Office Visit
Quality Improvement/Peer Review of Cases in which Death has Resulted from Suicide, Homicide or Suspicious Causes: 00-10
5150/Safety/Risk Policies
Policy: 00-10 Quality Improvement/Peer Review of Cases in which Death has Resulted from Suicide, Homicide or Suspicious Causes
Attachment A: Psychiatric Autopsy Confidentiality
Agreement
Attachment B: Sample Letter to Coroner
Referral Procedures (Clinical) – Unique Circumstances: 99-07
Admission Referral
Policy: 99-07 Referral Procedures (Clinical) – Unique Circumstances
Attachment A: Request for Referral to Unique Clinical Service
Referral Standards – County or County Contract 24-Hour Treatment Facilities: 91-17
Admission Referral
Policy: 91-17 Referral Standards – County or County Contract 24-Hour Treatment Facilities
Regional Medical Chiefs’ Role and Function: 97-04
Medical Psychiatric
Policy: 97-04 Regional Medical Chiefs’ Role and Function
Registered Sex Offenders: 12-03
5150/Safety/Risk Policies
Policy: 12-03 Registered Sex Offenders
Attachment A: Procedures for Service Provision to RSO Clients
Reise Case – Patient Right to Refuse Medication: 89
Client Rights
Policy: 89 Reise Case – Patient Right to Refuse Medication
Reporting Lapses of Consciousness to the County Health Officer: 07-03
Medical Psychiatric
Policy: 07-03 Reporting Lapses of Consciousness to the County Health Officer
Attachment A: CA Dept. of Health Services Confidential Morbidity Report, PM 110
Research Policies and Procedures: 95-02
HIPAA
Policy: 95-02 Research Policies and Procedures
Residency Program (Psychiatric) – Training Cases Open at Regional Clinics: 01-06
Medical Psychiatric
Policy: 01-06 Residency Program (Psychiatric) – Training Cases Open at Regional Clinics
Restricted Material in Client Chart (Formerly Chart Organization): 93-13
HIPAA
Policy: 93-13 Restricted Material in Client Chart (Formerly Chart Organization)
Restrictions on Use or Disclosure of Protected Health Information (PHI), Client Request: 03-08
HIPAA
Policy: 03-08 Restrictions on Use or Disclosure of Protected Health Information (PHI), Client Request
Attachment A: Request for Special Restriction on Use or
Disclosure of Protected Health Information
Attachment B: Response to Request for Special Restriction on
Use or Disclosure of Protected Health Information
Roger S. Procedures: 88
Admission Referral
Policy: 88 Roger S. Procedures
Safety/Risk Management Committee: 00-02
Clinical
Policy: 00-02 Safety/Risk Management Committee
Attachment A: BHRS Infection Control Committee
San Mateo County BHRS Code of Conduct: 16-02
Compliance
Policy: 16-02 San Mateo County BHRS Code of Conduct
San Mateo County BHRS Compliance Plan: 16-03
Compliance
Policy: 16-03 San Mateo County BHRS Compliance Plan Policy
Attachment A: Message from the BHRS Director regarding the
Compliance Program
Attachment B: BHRS Compliance Plan and Program
Selection of Evidence-Based and Community Defined Practice: Policy 14-03
Clinical
Policy: 14-03 Selection of Evidence-Based and Community Defined Practice
Services to 180-Day Post-Certification Clients: 90-01
Admission Referral
Policy: 90-01 Services to 180-Day Post-Certification Clients
Services to Clients in Primary or Preferred Languages: 99-01
Clinical
Policy: 99-01 Services to Clients in Primary or Preferred Languages
Attachment A: Health System Policy A-25, Client’s Right to
Language Services Notification Policy
Attachment B: Health System Policy A-26, No Use of Minors &
Careful Use of Family for Interpretation Policy
Attachment C: Language Access Services Instructions
Attachment D: BHRS Progress Note
Shredding of Client Material–Confidentiality: 01-09
HIPAA
Policy: 01-09 Shredding of Client Material–Confidentiality
Social Media Policy: 12-01
Administration
Policy: 12-01 Social Media Policy
Standards of Care in an Integrated Behavioral Health System: 11-01
Clinical
Policy: 11-01 Standards of Care in an Integrated Behavioral Health System
Attachment A: Standards of Care for AOD Providers
Attachment B: Assessment & Integration of Spiritual Interests
of Clients in Their Recovery and Wellness
Subpoenas to Release Records: 96-14
HIPAA
Policy: 96-14 Subpoenas to Release Records
Attachment A: Subpoena Review Checklist
Attachment B : Sample Cover Letter for Forwarding Records per
Appropriate Subpoena and Release
Attachment C : Sample Letter When No Release Accompanies
Subpoena and All Documents Are Being Returned
Attachment D: Sample Letter for Returning Subpoena Previously
Responded To
Additional Reference Materials
How to print an Avatar Chart for records release
Abnormal Involuntary Movement Screening: 90-07
Medical Psychiatric
Policy: 90-07 Abnormal Involuntary Movement
Screening
Attachment A: Abnormal Involuntary Movement Scale (AIMS)
Telecommuting: 96-07
Administration
Retired 10.12.21
Trainee/Intern/Resident Case Assignments and Service Agreements: 01-04
Clinical
Policy: 01-04 Trainee/Intern/Resident Case Assignments and Service Agreements
Attachment A: Client Service Agreement for Trainees, Interns
and Residents
Attachment B: Client Service Agreement for Trainees,
Interns and Residents (Spanish)
Transfer of Minor Patients to Adult Psychiatric Units: 91-17
Admission Referral
Policy: 91-17 Transfer of Minor Patients to Adult Psychiatric Units
Translation of Written Materials: 05-01
Administration
Policy: 05-01 Translation of Written Materials
Attachment A: Policy Attachments, Clinical Forms and Other Information Available in Languages other than English
Transportation of Clients: 05-04
5150/Safety/Risk Policies
Policy: 05-04 Transportation of Clients
Attachment A: Specific Transportation Protocol
Tuberculin Skin Test (TST) and Referrals: 92-14
Medical Psychiatric
Policy: 92-14 Tuberculin Skin Test (TST) and Referrals
Attachment A: Diagnosis of Latent TB Infection (LTBI)
Attachment B: Confidential Morbidity Report – State of
California CDPH 110b
Urgent Care Messages: 97-09
5150/Safety/Risk Policies
Policy: 97-09 Urgent Care Messages
Urine Toxicology Screening: 95-08
Medical Psychiatric
Policy: 95-08 Urine Toxicology Screening
Attachment A: Urine Toxicology Screening Agreement
Voluntary Time Off (VTO): 98-02
Administration
Policy: 98-02 Voluntary Time Off (VTO)
Volunteers, Students and Trainees: 96-01
Administration
Policy: 96-01 Volunteers, Students and Trainees
Waiver/Registration in Lieu of License: 99-04
Administration
Policy: 99-04 Waiver/Registration in Lieu of License
Attachment A: Request for Waiver of Licensure
Attachment B: Notice of Professional Responsibility to Maintain
Current Clinical License
Attachment C: Procedures for Verification of Licensing and
Registrations
Attachment D: CA HHSA DHCS Mental Health Professional
Licensing Waiver Request
Weapons Management: 95-05
5150/Safety/Risk Policies
Policy: 95-05 Weapons Management
Attachment A: Voluntary Relinquishment of Firearm or Other Deadly Weapon
Welcoming Framework: 25-05
Clinical
Policy: 25-05 Welcoming Framework
Attachment A: Companion Guide to Implementation of a Welcoming Environment