Find resources and instructions for submitting a claim, including how file a claim in a timely manner and how to dispute a claim. For completed examples of some legal forms, see our Self Help Form and Sample Packets page.Handwritten forms are hard to read. This Services Agreement ("Agreement") is made effective June 17, 2022. The County of Santa Clara Behavioral Health Services Department Provider Manual covers the operations of the BHSD Provider Network. Page 1. AGREEMENT. Between. COUNTY OF SANTA CLARA. And. End Date of Services - enter in the date the Individual stopped services. Compensation for the performance of services as specified in the contract.