Assessment

Print
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

or

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