LPS Outpatient Designation Process Training
In-Person Process
For Outpatient BHS Programs, please read the instructions first.
- 5150/5585 Initial LPS Outpatient Designation Instructions OR
- 5150/5585 Re-Designation LPS Outpatient Designation Instructions
For Correctional Health Services (CHS), please read the instructions first.
03/26/2025
Next, choose one of the following to sign up:
Please download the below forms to fill out BEFORE saving and sending.
- Outpatient BHS Programs: 5150/5585 LPS Outpatient Designation Authorization Form OR
- Correctional Health Services (CHS): 5150/5585 LPS Outpatient Designation Authorization Form
5150/5585 Form 
- 5150/5585 Form Memo 2023.11.20
- DHCS 1801 APP FOR UP TO 72-HOUR ASSESSMENT, EVAL, & CRISIS INTERVENTION OR PLACEMENT FOR EVAL AND TREATMENT Revised 09/2023
- QMS Designation Support Team New 5150/5585 Form Training Guideline Instructions 2023/11/20
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