Health Services

Official Website: http://cchealth.org

Mission is to care for and improve the health of all people in Contra Costa County with special attention to those who are most vulnerable to health problems.

Forms & Documents

Browse all Health Services government forms

1 - 20 of 154 forms

Form Title Topics
Admission
Adult Annual Clinical Assessment Update
Annual Clinical Update for Children
AOD Certification Standards
Appeal Submission Checklist
Appeal Submission Checklist
Application
Application for Temporary Food Event Permit
ASAM Case Presentation Format
ASAM Criteria-(B
ASAM Criteria Placement Assessment
ASAM Dimensions to ASI Domains Crosswalks
Authorization Delay Notice
Behavioral Health Access Line
Beneficiary Non-Discrimination Notice
Building Bridges Conference
CCMHP Insurance-Medicare Payment Notification Form
CCMHP Insurance-Medicare Verification Notification Form
CCVS Brochure
CFT Meeting Action Plan and Progress Summary

Contact Information & Office Locations

1 contact point

Contra Costa Health Services

Address:
1220 Morello Ave
Suite 200
Martinez, CA 94553

Phone numbers:
  • (925) 313-6740 (Public Health)
  • (925) 646-2441

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