The releasor authorizes his/her employer to release employment references including, but limited to, his/her employment history and wages and any information which may be requested relative to his/her employment, employment applications, and other related matters, and to furnish copies of any and all records which the employer may have regarding his/her employment.
Release Of Information Form Counseling In Contra Costa
Category:
State:
Multi-State
County:
Contra Costa
Control #:
US-00458
Format:
Word;
Rich Text
Instant download
Description
Form popularity
FAQ
Please email Contra Costa County Communications Director Kristi Jourdan at Kristi.Jourdan@contracostatv or call 925-313-1180 if you need assistance finding the right department or person.
1-877-661-6230 (For medical emergencies, please call 911.)
The SPIRIT program addresses the healthcare needs of our community's most vulnerable patients, thereby reducing the strain on hospital emergency services.
Mission Statement Our mission is to care for and improve the health of all people in Contra Costa County with special attention to those who are most vulnerable to health problems.
Service Provider Individualized Recovery Intensive Training (SPIRIT) is a college accredited recovery oriented, peer led classroom and experiential-based program for individuals with lived behavioral health experience as a client/consumer or a family member.
How do I find out if someone is in custody? The Sheriff's Custody Services Bureau handles all in-custody inmate information. They can be reached at (925) 646-4496, 24 hours a day seven days per week.
Ways to File a Grievance or Appeal Call Member Services, Monday – Friday, 8am – 5pm at 1-877-661-6230 (Option 2) (TTY 711). If you have a clinically urgent issue, you can also reach our 24-Hour Nurse Advice Line at 1-877-661-6230 (Option 1).
Contra Costa County, California Contra Costa County FIPS code 06-013 GNIS feature ID 1675903 Congressional districts 8th, 9th, 10th Website contracosta.ca33 more rows
