DOCUMENTS AND FORMS
Find the forms and documents
you need
Access South County Mental Health Center documents, forms, referral information, and medical records request resources in one central location.
This page is intended to help clients, families, providers, and community partners find the right document or next step more easily.
One place for important
documents and requests
This page brings together commonly requested SCMHC documents, forms, referral resources, and medical records request information.
Use the sections below to find the type of document or request you need. Some forms may require completion, signature, identity verification, or follow-up from SCMHC staff.
Available Documents and Forms
Select the document category that best matches what you need. Documents may be downloaded, printed, completed, or submitted according to the instructions provided with each form.
Client Forms
Access forms related to client information, consent, authorization, or other documents needed for care coordination and service access.
Outpatient Registration Questionnaire
A registration packet containing client information, consent documents, and health screening questionnaires.
Voluntary Admission Registration Questionnaire
A registration and consent packet for voluntary admission that includes information about patient rights and clinical assessment.
Referral Forms
Find referral-related documents for providers, agencies, families, or community partners seeking to connect someone with SCMHC services.
Medical Records Requests
Find information and forms related to requesting medical records. Requests may require written authorization, identity verification, and processing time.
Authorization to Disclose or Obtain Protected Healthcare Information
This form allows clients or authorized representatives to request or authorize disclosure of specified healthcare information.
Not sure which document you need?
If you are not sure which form applies to your situation, SCMHC can help direct you to the appropriate next step.
For general questions, contact SCMHC directly. For life-threatening emergencies, call 911. For behavioral health crisis support, call 211.
Contact Lines:
General Phone: (561) 495-0522
Toll Free: 1-877-858-7474
Please do not submit sensitive medical information through a general website form unless specifically instructed by SCMHC.
Find the right
next step
Whether you are a client, family member, provider, referral source, or community partner, SCMHC can help you find the appropriate form, document, or point of contact.