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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

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