San Joaquin County
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DESCRIPTION English Spanish Cambodian DATE
Pediatric Symptom Checklist (PSC-35) pdficon     06/22/2018
2017 BHS Consumer Satisfaction Survey pdficon   pdficon 03/01/2017
BHS Outreach Presentations and Events Form pdficon     07/30/2008
Expedited Appeal Form pdficon pdficon pdficon 01/18/2018
Grievance Form pdficon pdficon pdficon 01/18/2018
Standard Appeal Form pdficon pdficon pdficon 01/18/2018
MHS Client Handbooks pdficon pdficon pdficon 01/04/2018
ODS Client Handbooks pdficon 05/31/2018
Suggestion, Comment or Compliment Form pdficon pdficon pdficon 01/23/2015
Notice to Medi-Cal Clients pdficon     07/01/2005
Problem Resolution Process (PRP) Poster pdficon pdficon pdficon 01/04/2018
Client Assistance Program - Covered San Joaquin Flyer pdficon pdficon pdficon 02/05/2016
Network Discharge To Team wordicon 02/05/2004
Reauthorization Form wordicon 02/05/2004
Limited English Proficiency (LEP)
English LEP Poster for staff area pdficon 8/16/2017
LEP Poster for public area pdficon pdficon pdficon 8/16/2017
HIPAA Rights Poster pdficon pdficon pdficon 01/09/2005
HIPAA Notice of Privacy Practices pdficon pdficon pdficon 09/23/2013
Medi-Cal Provider Directory pdficon pdficon pdficon 06/2018
Medi-Cal Provider Directory (18-font) pdficon pdficon pdficon 06/2018
Statewide Medi-Cal Guide pdficon pdficon pdficon 10/2013
“Free Interpretation Service Available” Poster pdficon     03/2016
SJCBHS Compliance Hotline Poster pdficon     11/1/2004
SJCBHS Standards of Conduct Poster pdficon     06/2010