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  • English Forms »Youth Services Outpatient MH English

Youth Services Outpatient MH English

EN-MH EHR exchange 
NPP Acknowledgement
MHE 280 Consent form for Adults Children
EN MH Auth for release share confidential information
NPP Combined
Santa Cruz MHP Beneficiary Handbook
2022 Person Served Handbook 
Youth Services Handbook Addendum
How to File a Grievance Procedure - Medi-Cal Beneficiaries
Encompass NPP 9.25.2020
Encompass Consent for Services
Encompass Telehealth Consent Form
Informed Consent for interns 6.15.2022
Caregiver Affidavit-ENG
Minor Consent County 2016
Transportation waiver and release-ENGLISH used by Fuerte
County BH Telehealth Consent Form ENG 
Encompass Single Entity EOI 8.18.20


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Encompass Community Services received its first three-year CARF accreditation in July 2019, and reaccredited in 2022.
For a list of our accredited programs, click here.


380 Encinal St, Suite 200
Santa Cruz, CA 95060
(831) 469-1700

Head Start Program
(831) 688-3802

We accept Medi-Cal

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