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Last Updated by Patrick Barnett
  Electronic Service Authorization Request (SAR) Form
 

Welcome to Fresno County’s California Children’s Services (CCS) Electronic Service Authorization Request (SAR) Form!

All CCS medical service providers are encouraged to utilize the electronic SAR form. This form may be completed online and emailed to Fresno County’s CCS Office or saved and emailed at a later time. Your computer must have Adobe Reader to view or enter data into this form. A blank form can also be saved for later data entry. All SAR forms submitted via email will receive a notification receipt from CCS.

Please click on the link below to complete the SAR form.

CCS SAR FORM

CCS SAR INSTRUCTIONS

The SAR form may also be faxed to Fresno CCS at (559) 455-4789 or mailed to:

CCS
PO Box 11867
Fresno, CA 93775

Should you have any questions or concerns regarding the SAR form, please contact Fresno County CCS at (559) 600-3300 or by email at CCSSAR@co.fresno.ca.us.

 
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