HHS Forms & Documents
Documents / Reference
- Crisis resources (PDF)
- HHS Master List of Acronyms(PDF) (PDF)
- HHS New Employee Orientation Guide with videos. (PDF)
- OHP MED Dual Diag (PDF)
- PRIDE form (PDF format) (PDF)
- Redundant Communications March 27, 2003 (PDF)
- Vicarious Trauma Peer Consultation Brochure (PDF)
- YCCO MH Levels of Care Model (PDF)
- YCHHS Service Code Guide (XLSX)
Emergency Evacuation Procedures
Forms
- Adult Abuse Reporting Form - MH (PDF)
- Client No Show Referral follow up (NSRF) (DOCX)
- Critical Incident form (PDF)
- Electronic Communication With Clients (PDF)
- Expense Form (PDF)
- Expense Form Instructions (DOCX)
- Fraud Waste Abuse Reporting Form Fillable (PDF)
- Grievance Resolution Letter non-YCCO Member (PDF)
- Grievance Resolution Letter YCCO Member (PDF)
- HHS Request for Special Work Hours (PDF)
- HIPAA incident reporting form (PDF)
- OHP Complaint Form (English) (PDF)
- OHP Complaint Form (Spanish) (PDF)
- Overnight Travel Form Instructions (DOCX)
- Overnight Travel Information Form (XLSX)
- Patient Admit to BH status ltr to PCP (PABH PCP) (DOCX)
- Payroll Correction Form 2021-2023 (PDF)
- Referral for BH services (Ref-BH) (DOCX)
- Special Needs Request Instructions 7.1.21 (DOCX)
- Special Needs Request modified January 1, 2022 (PDF)
- Training Database Workflow (Word Document) (DOCX)
- Transport Adult Non-Client Hold Harmless Agreement (PDF)
- Transport Adult Non-Client Hold Harmless Agreement (Spanish) (PDF)
- Transport Minor Non-Client Hold Harmless Agreement (PDF)
- Transport Minor Non-Client Hold Harmless Agreement (Spanish) (PDF)
- YCHHS Complaint Process (English) (PDF)
- YCHHS Consent to Treatment (PDF)
- YCHHS Transfer of Care to PCP Ltr (TOC-PCP) (DOCX)
Org Charts
- ABH Org Chart (PDF)
- Core Office Support Org Chart (PDF)
- CSS Org Chart (PDF)
- DD Org Chart (PDF)
- ERO Org Chart (PDF)
- Fiscal Year Org Chart (PDF)
- HHS Administration Org Chart (PDF)
- HHS Org Chart (PDF)
- PH Org Chart (PDF)
Technology Support
- Change Raintree P-Word (PDF)
- Change Windows P-Word (PDF)
- Computer Policy (PDF)
- Computer Support Contacts for HHS (PDF)
- Using Secure Email (PDF)
- Video Conferncing Instructions (PDF)
- Strong Passwords