Press Enter to show all options, press Tab go to next option

The FCMHP Assessment Form has been designed to meet Medi-Cal documentation standards. If assessing children 0-36 months of age, please use the IFMH Addendum in addition to the assessment form above.

Completed forms should be mailed or faxed to:

Fresno County Mental Health Plan
P.O. Box 45003
Fresno, CA 93718-9886


Fax: (559) 455-4633

Free viewers are required for some of the attached documents.
They can be downloaded by clicking on the icons below.

Acrobat Reader Flash Player Windows Media Player Microsoft Silverlight Word Viewer Excel Viewer PowerPoint Viewer