Documents
Informational Handout (BHS 315) describes the appeal process for Medi-Cal members and the grievance process for all members receiving San Francisco Behavioral Health Services. Also available in Chinese, Russian, Spanish, Tagalog, and Vietnamese.
Grievance and Appeal Form (BHS 316) is for members or their authorized representative to file a grievance or to request an appeal. Authorized representatives include relatives, friends, advocates, or your provider, who can help you in the grievance process with your written consent. Also available in: Chinese, Russian, Spanish, Tagalog, and Vietnamese.
BBS Notice to Clients (BHS 317) informs members of option to file a complaint with the Board of Behavioral Sciences about services provided by its licensed or registered professionals. Also available in: Chinese, Russian, Spanish, Tagalog, and Vietnamese.
The taglines inform members, potential enrollees, and the public of the availability of no-cost language assistance services, including assistance in non-English languages and the provision of free auxiliary aids and services for people with disabilities. If you need help in your language call 1-888-246-3333 (TTY: 711).
This notice informs members, potential enrollees, and the public about nondiscrimination, protected characteristics, and accessibility requirements. Also available in: Chinese, Russian, Spanish, Tagalog, and Vietnamese.