If this is a life-threatening emergency, please do not complete this form and go to the nearest emergency department or call 911. If you have an immediate mental health need, please do not complete this form and call 916-875-1055.

Service Request forms can be submitted for Mental Health services for any Sacramento County MediCal beneficiary or a MediCal beneficiary residing in Sacramento County. Please expect a call within 3 business days from the Mental Health Access Team to process your request. Staff will leave up to 2 voice mail messages and send a letter to a valid address provided on the referral form. Please call us back at 916-875-1055 if we are not able to reach you. Deaf and hard of hearing individuals may contact the Access Team using video relay service or California Relay 711. The referral will be closed as unable to contact after 14 calendar days.

Online service requests are processed Monday through Friday, 8AM-5PM, excluding County holidays. For additional information regarding mental health services, please contact our Mental Health Access Team at (916) 875- 1055 or visit our website at https://dhs.saccounty.net/BHS/Pages/BHS-Home.aspx You may also reach Beneficiary Protection staff at 916-875-6069 to report any concerns regarding mental health services provided to you. Deaf and hard of hearing individuals may contact the Mental Health Access Team or Beneficiary Protection staff using video relay service or California Relay 711.