Contra Costa Mental Health Plan - cchealth 2026

1. Click ‘Get Form’ to open the Contra Costa Mental Health Plan - cchealth in the editor.
2. Begin by entering your name and medical record number (MRN) at the top of the form. This information is essential for identification purposes.
3. Fill in the billing information, including program name and staff details. Ensure accuracy as this will affect service processing.
4. Select the location of services from the provided options, such as 'Office' or 'TeleHealth'. You can check multiple boxes if applicable.
5. In the 'Service Strategies' section, check up to three strategies that apply to your situation. This helps tailor your care plan.
6. Complete the identifying information section, including legal name, age, preferred name, and gender. This ensures proper documentation.
7. Provide detailed responses in sections like 'Presenting Problem' and 'Relevant Family/Social History'. Use clear language to describe your situation.
8. Review all entries for accuracy before submitting. Utilize our platform's features to save your progress and make edits as needed.

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