Behavioral Health Staff: Forms & Policies
Reise Case – Patient Right to Refuse Medication: 89
Client Rights
Policy: 89 Reise Case – Patient Right to Refuse Medication
Restrictions on Use or Disclosure of Protected Health Information (PHI), Client Request: 03-08
HIPAA
Restrictions on Use or Disclosure of Protected Health Information (PHI), Client Request: 03-08
Attachments:
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
Safety/Risk Management Committee: 00-02
Clinical
Policy: 00-02 Safety/Risk Management Committee
Attachments
Attachment A: BHRS Infection Control Committee
San Mateo County BHRS Compliance Plan: 16-03
Compliance
Policy: 16-03 San Mateo County BHRS Compliance Plan Policy
Attachments:
Attachment A: Message from the BHRS Director regarding the
Compliance Program
Attachment B: BHRS Compliance Plan and Program
Services to Clients in Primary or Preferred Languages: 99-01
Clinical
99-01 Services to Clients in Primary or Preferred Languages: Policy
Attachments:
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
Standards of Care in an Integrated Behavioral Health System: 11-01
Clinical
Standards of Care in an Integrated Behavioral Health System: 11-01
Attachments:
Standards of Care in an Integrated Behavioral Health System: 11-01, Attachment B: Assessment and Integration of Spiritual Intere
Standards of Care in an Integrated Behavioral Health System: 11-01, Attachment A: Standards of Care for AOD Providers
Subpoenas to Release Records: 96-14
HIPAA
Policy: 96-14 Subpoenas to Release Records
Attachments:
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
Tuberculin Skin Test (TST) and Referrals: 92-14
Medical Psychiatric
Policy: 92-14 Tuberculin Skin Test (TST) and
Referrals
Attachments:
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
Waiver/Registration in Lieu of License: 99-04
Administration
Policy 99-04 Waiver/Registration in Lieu of License: Policy
Attachments
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
Welcoming Framework: 25-05
Clinical
Policy: 25-05 Welcoming Framework
Attachments:
Attachment A: Companion Guide To Implementation of a
Welcoming Environment