These forms will need to be completed prior to any treatment. FORMS. View and download the CMDM Program Referral Form.Please Note: The Alliance may also contact the member to see if they would like to enroll. If you do not have network access please fill out a Network Access form. If you have any questions, please call the Help Desk at 510-567-8181. Patient Referral Form. Please fax the completed form to the Alliance Behavioral Health Department at 1.855. Referral Form - Active Method Physical Therapy - conveniently located for Oakland call (510) 339-2116. • Allied health services such as physical occupational or respiratory therapy. Alameda County provides mental health services in a number of schools in Alameda County.