For training and technical assistance needs or questions, please email info@CARE-Act.org.

County Templates

The following are a collection of CARE Act county templates. HMA shares these documents with the permission of the county which developed it. HMA was not involved in its development. It is for reference only as it may need to be modified or updated to align with the current CARE statutes. You should consult with your legal counsel as to questions regarding the sharing of the protected health information or the court processes and timelines included in the document.

Have a question? Please contact your county liaison or email info@care-act.org.

Templates

Select from the template types below to navigate to county-developed CARE Act resources.

  • Select a Template Type

Alameda CARE Act Court Referral

County: Alameda
Type: Referral

Alameda CARE Case Tracker with Notes

County: Alameda
Type: Other

Alameda CARE Court Inquiries Tracking

County: Alameda
Type: CARE Inquiries

Fresno CARE Court Forms

County: Fresno
Type: Other

Fresno CARE Referral Order

County: Fresno
Type: Referral

Fresno MIST Referral to CARE Court Response

County: Fresno
Type: Referral

Monterey CARE Calendar

County: Monterey
Type: Court Calendar

Napa Referral Form

County: Napa
Type: Referral

Sacramento CARE Agreement

County: Sacramento
Type: CARE Agreement or Plan Checklist

Sacramento CARE Court Referral

County: Sacramento
Type: Referral

Sacramento CARE Referral Denial

County: Sacramento
Type: Referral

Sacramento Referral Request

County: Sacramento
Type: Referral

San Diego CARE Agreement or Plan

County: San Diego
Type: CARE Agreement or Plan

San Diego CARE Clinical Evaluation

County: San Diego
Type: Clinical Evaluation

San Diego CARE Graduation Plan

County: San Diego
Type: Graduation Plan

San Diego CARE Initial Hearing

County: San Diego
Type: Initial Hearing

San Diego CARE Investigative Report

County: San Diego
Type: County Investigative Report

San Diego CARE Report Addendum

County: San Diego
Type: Other

San Diego CARE Status Review

County: San Diego
Type: Status or Progress Review

San Mateo CARE Agreement Plan

County: San Mateo
Type: CARE Agreement or Plan

San Mateo CARE Clinical Evaluation

County: San Mateo
Type: Clinical Evaluation

San Mateo CARE Investigative Report

County: San Mateo
Type: County Investigative Report

San Mateo CARE Status Report

County: San Mateo
Type: Status or Progress Review

Tuolumne CARE Clinical Evaluation

County: Tuolumne
Type: Clinical Evaluation

Tuolumne CARE Investigative Report

County: Tuolumne
Type: County Investigative Report

Tuolumne CARE Plan

County: Tuolumne
Type: CARE Agreement or Plan

Tuolumne Case Management Hearing

County: Tuolumne
Type: Case Management Hearing

Tuolumne Status Report

County: Tuolumne
Type: Status or Progress Review

Ventura CARE Agreement

County: Ventura
Type: CARE Agreement or Plan

Ventura CARE Clinical Evaluation

County: Ventura
Type: Clinical Evaluation

Ventura CARE Eligibility Criteria Checklist

County: Ventura
Type: Other

Ventura CARE Initial Hearing

County: Ventura
Type: Initial Hearing

Ventura CARE Investigative Report

County: Ventura
Type: County Investigative Report

Ventura CARE Referral from Hospital

County: Ventura
Type: Referral

Ventura CARE Refferal

County: Ventura
Type: Referral