Mental Health Diversion Screening Form {MHD} | Pdf Fpdf Docx | California

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Mental Health Diversion Screening Form {MHD} | Pdf Fpdf Docx | California

Last updated: 8/11/2025

Mental Health Diversion Screening Form {MHD}

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Description

SAN MATEO COUNTY MENTAL HEALTH DIVERSION SCREENING FORM. This form is used to evaluate whether a criminal defendant may be eligible for mental health diversion under California law. This form collects comprehensive information about the client's mental health status, including official diagnoses, treatment history, medications, and current engagement with mental health services. Depending on whether the client is in or out of custody, it requires different supporting documentation—such as jail treatment records or community treatment provider information—and includes checklists for required attachments like records, provider agreements, and treatment plans upon release. The form may also address whether the client has been found incompetent in a felony case or is being considered for Intensive Mental Health Diversion (IMHD). Completion of this form, along with the necessary documentation and a waiver of time by the client, is required before a case can be scheduled in Mental Health Diversion Court. www.FormsWorkflow.com

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