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COUNTY OF LOS ANGELESDEPARTMENT OF MENTAL HEALTH SCHOOL THREAT ASSESSMENT RESPONSE TEAM (START) REFERRAL FORM If this is a psychiatric emergency, please call ACCESS Center 18008547771 or dial 911.

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How to fill out the 18008547771 online

Filling out the 18008547771 form is an important process for users seeking assistance from the County of Los Angeles Department of Mental Health's School Threat Assessment Response Team. This guide provides clear, step-by-step instructions to ensure users can complete the form accurately and securely.

Follow the steps to fill out the 18008547771 form online effectively.

  1. Press the ‘Get Form’ button to obtain the 18008547771 form and launch it in your document editor.
  2. Begin by entering the individual's name and date of birth (DOB) in the appropriate fields.
  3. Indicate the preferred language and secondary language as needed.
  4. Record the individual's ethnicity and gender in the designated sections.
  5. Provide the reason for the call in the specified area.
  6. Complete the referring party's name and contact information.
  7. List school contacts by writing their names and phone numbers.
  8. Include the student's therapist information along with their grade and phone number.
  9. Enter the treatment agency the individual is currently involved with.
  10. Detail current psychiatric treatment and medications, including names and compliance information.
  11. Fill in the guardian’s name, address, and phone numbers. Include both father’s and mother’s contact information as required.
  12. If applicable, fill out the primary caregiver section, detailing the relationship to the child and caregiver's information.
  13. Check any current risk and safety concerns from the provided list; be thorough and accurate.
  14. Provide any additional details that will aid the assessment in the open text space provided.
  15. Finally, review all entered information for accuracy, then save, download, or print the completed form for submission.

Take action now and complete the 18008547771 form online to ensure timely assistance.

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Contact support

Call the Crisis Hotline at (541) 687-4000, TTY 711, call 911, or go to the Emergency Room (ER). Call 911 if at any time during the emergency you feel your situation is not safe.

5150 Holds Danger to self: someone has threatened or attempted self-harm or suicide; Danger to others: someone has made threats or actual attempts to harm others; Grave disability: Someone is unable to provide for their own food, clothing, or shelter.

Psychiatric Emergency Teams (PET) For contact information on PET, call (800) 854-7771.

our 24/7 Help Line at (800) 854-7771. The LACDMH Help Line serves as the primary entry point for mental health services with the Los Angeles County Department of Mental Health.

Lisa Wong, Psy. D., is the Director of the Los Angeles County Department of Mental Health (LACDMH) as of February 28, 2023, after serving as Interim Director since July 2022.

1-800-854-7771 (option/extension '1') The ACCESS Center, as part of LACDMH's Help Line, operates 24 hours/day, 7 days/week as the entry point for mental health services in Los Angeles County.

More than 23 entities send referrals to PMRT, making it a critical source of care and response across LA County. To request/obtain EOTD services, including PMRT, please call our 24/7 Help Line at (800) 854-7771.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232