Informing Materials

Advance Health Care Directives

  1. Advance Health Care Directives - Audio Recording - English (MP3)
  2. Advance Health Care Directives - Audio Recording - Spanish (MP3)
  3. Advance Health Care Directives - English (PDF)
  4. Advance Health Care Directives - Large Print - Spanish (PDF)
  5. Advance Health Care Directives - Spanish (PDF)

Beneficiary Handbook - is available in paper form without charge upon request and is provided within 5 business days

  1. Beneficiary Handbook - English
  2. Beneficiary Handbook - Spanish
  3. Beneficiary-Handbook - Large Print - English

Butte Countywide CoC HMIS Public Notice

  1. Butte Countywide CoC HMIS Public Notice - English (PDF)

Butte Countywide CoC Privacy Statement

  1. Butte Countywide CoC Privacy Statement - English (PDF)

Car Seat Safety

  1. Car Safety Law - English (PDF)
  2. Car Safety Law - Spanish (PDF)

Conservatorship & You

  1. Conservatorship and You - English (PDF)
  2. Conservatorship and You - Large Print - English (PDF)
  3. Conservatorship and You - Large Print - Spanish (PDF)
  4. Conservatorship and You - Spanish (PDF)

Determining Language Preference

  1. Determining Language Preference - All Languages (PDF)

Guide to Medi-Cal & Mental Health Services

  1. Guide to Medi-Cal and Mental Health Services - Audio Version - Spanish (MP3)
  2. Guide to Medi-Cal and Mental Health Services - English (PDF)
  3. Guide to Medi-Cal and Mental Health Services - Hmong (PDF)
  4. Guide to Medi-Cal and Mental Health Services - Spanish (PDF)

Medi-Cal Provider Directory

  1. BCDBH Provider Directory - English 11.28.2023
  2. BCDBH Provider Directory - Spanish 11.28.2023

Member Information

  1. Member Information - Audio Recording - English (MP3)
  2. Member Information - Audio Recording - Spanish (MP3)
  3. Member Information - English (PDF)
  4. Member Information - Hmong (PDF)
  5. Member Information - Spanish (PDF)

Notice of Privacy Practices

  1. Notice of Privacy Practices - Audio Recording - English (MP3)
  2. Notice of Privacy Practices - English (PDF)
  3. Notice of Privacy Practices - Hmong (PDF)
  4. Notice of Privacy Practices - Large Print - English (PDF)
  5. Notice of Privacy Practices - Large Print - Spanish (PDF)
  6. Notice of Privacy Practices - Spanish (PDF)

Discrimination on the Basis of Disability: Brochure

  1. Discrimination on the Basis of Disability Brochure - English (PDF)
  2. Discrimination on the Basis of Disability Brochure - Spanish (PDF)

Discrimination on the Basis of Disability: Grievance Procedure

  1. Discrimination on the Basis of Disability Grievance Procedure - English (PDF)
  2. Discrimination on the Basis of Disability Grievance Procedure - Spanish (PDF)

Request for Records (submit to the clinic that provided services)

  1. Request for Access to PHI 060716

Authorization to Release Information

  1. Authorization to Use or Disclose PHI Form - English
  2. Authorization to Use or Disclose PHI Form - Spanish

Health Insurance Portability and Accountability Act (HIPAA)

Visit the California Office of HIPAA Implementation (CalOHI) Website.

Alternative Format

If an alternative format is needed that is not listed, please contact Quality Management.