IMPORTANT: Changes to Medi-Cal rules are coming! Medi-Cal will be available to all people who are 50 years of age or older who meet all Medi-Cal eligibility criteria, and immigration status will not matter. These changes will also let people keep more property and qualify for Medi-Cal. Go to benefitscal.com or call the Los Angeles County Department of Public Social Services at 1-866-613-3777.

Behavioral Health Resources

Looking for commonly used consent, behavioral health, or screening forms? View, download, or print provider forms and toolkits from the list below.

See something missing? Contact our Provider Information line at 1-866-LACARE6 (1-866-522-2736).

AUDIT

The AUDIT (Alcohol Use Disorders Identification Test

The AUDIT Guide
 

Behavioral Health Resources

Behavioral Health in Medi-Cal

Behavioral Health Screening Tool (GAD-2, PHQ-2, and SHA)
 

Behavioral Health Forms

Institute for Mental Disease (IMD) Referral Request Form

Level of Care Screening Form