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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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