Department of Mental Health Forms

If you do not see a form you are looking for, please contact us.

Department-wide Forms

 

Adult Mental Health Forms

Community Rehabilitation & Treatment (CRT) Forms:

Children, Adolescent and Family Mental Health Forms

Act 264 Forms

You must print out the Coordinated Service Plan for signature and submission.

The Word version can be filled out on the computer.
You can save it to your files for your records, as well as be able to return to the form if you have started to fill it out. You can adjust the "zoom" setting for magnification.

ISB Forms

General Child, Adolescent and Family (CAFU) Forms

Peggy's Law

Respite

Special Service Funding

Enhanced Family Treatment (formerly called Waiver) Forms