AB-1424 Form - Alameda County Behavioral Health - acphd-2026

1. Click ‘Get Form’ to open the AB-1424 Form in the editor.
2. Begin by entering the consumer's name, date of birth, and phone number in the designated fields at the top of the form.
3. Fill in the address and primary language of the consumer. Additionally, indicate their religion and insurance details by checking 'Yes' or 'No' for Medi-Cal and Medicare.
4. Provide a brief history of mental illness, including age of onset and any prior hospitalizations. Use additional pages if necessary.
5. Complete sections regarding current medications, treating psychiatrist, case manager, and significant medical conditions. Ensure all information is accurate.
6. Review your entries for completeness before saving or sharing the form. You can easily export it directly from our platform.

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