providing mental health &
substance abuse  services for
the people of Alameda County ...  

Click here to go to homepage!

2000 Embarcadero Cove, Suite 400, Oakland, CA  94606
Phone: (510) 567-8100    Driving Directions

Clinical Templates - Children's Services


The following files are in Microsoft Word template or PDF format. 
Please download the file and save on it on your local computer for future use.

AB 3632  

Initial Assessment  


Assessment Center (non Medi-Cal Mental Health Screening);   

CQRT Authorization  

Medication Support  

  • Sample Medi-Cal Compliant Psychiatric Mental Health Assessment:  PDF    Word
  • Sample Medi-Cal Compliant Psychiatric Mental Health Client Plan:  PDF    Word

Progress Notes  

Treatment Plan  

  • Sample Medi-Cal Compliant MH Treatment Plan:   PDF   Word
  • Medication Support - Forthcoming


Community Functioning Evaluation (CFE)