Santa Clara County Government Forms

Form Title	Agency	Topics
System Authorization for the Release of Confidential	Behavioral Health
Temporary Judge Availability Schedule	Superior Court
Termination of Appointment of Court Designated Child Advocate	Superior Court
The Seven Challenges Youth Survey	Behavioral Health
Transcript and Electronic Recording Request Form (see also transcript information page and online request form	Superior Court
Transportation Physician Certification Statement	Health Plan
Treatment Plan	Behavioral Health
UNI/Care Administrative Discharge	Behavioral Health
UNI/Care Annual Update	Behavioral Health
UNI/Care Annual Update for 18 years of Age or Older	Behavioral Health
UNI/Care CFCS Client Registration Form	Behavioral Health
UNI/Care CFCS DETOX CALOMS Admit Questionnaire	Behavioral Health
UNI/Care CFCS DETOX CALOMS Admit Questionnaire	Behavioral Health
UNI/Care Discharge Summary for 18 years of Age or Older	Behavioral Health
Visitation Order	Superior Court
W-9 Tax Form	Health Plan
Waiver and Stipulation for Resentencing or Redesignation of Offenses	Superior Court
Waiver Form with Advisements, Stipulations, Declarations, Findings and Orders	Superior Court
Waiver of Liability Statement	Health Plan
Waiver of Mediation Confidentiality	Superior Court