Reassessment Forms

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If you feel that additional treatment is clinically indicated for a consumer beyond our initial authorization period, reassessment paperwork must be submitted to the Fresno County Mental Health Plan for approval. To prevent a break in services, we recommend that the reassessment paperwork be submitted 10 days before the end of the authorization.

Our current Reassessment Form - PDF / Reassessment Form - Computer Type Word Document are included here. Please complete all sections. You may fax completed reassessment forms to (559-455-4633) or mail them to:

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

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