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Get Ca Dhs/dmh/lahsa Referral Form For Interim Housing - County Of Los Angeles 2019-2024

TAL OR DHS FUNDED COMMUNITY-BASED ORGANIZATION OR OTHER NON-DMH FUNDED PROGRAM AND THE PARTICIPANT S PRIMARY PRESENTING ISSUE IS MEDICAL: Review the DHS/DMH/LAHSA Referral Guidelines for Interim Housing Programs to ensure participant meets the eligibility criteria. Complete the DHS/DMH/LAHSA Referral Form for Interim Housing Programs and Supplemental Information Form for DHS Interim Housing (Attachment A). Complete the Authorization for the Use and Disclosure of Health and Social.

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