Mental Health Diversion Contact Information {SUPCR-1132}

SUPCR-1132 - COLLABORATIVE COURTS CONTACT AND INFORMATION FORM. This form is used by the Superior Court of California, County of Santa Cruz, to gather detailed information about a client being referred to the Collaborative Courts program. The form collects personal details, case information, military service history, mental health status, healthcare information, and other relevant data. It also includes a questionnaire to assess the client's current employment status, hospitalization history, physical or mental disabilities, emotional well-being, substance use, time management skills, and familiarity with local resources. By signing the form, the participant agrees to receive information about mental health diversion and to be assessed and participate in mental health services as needed. Form Adopted for MANDATORY USE. www.FormsWorkflow.com