Contra Costa County Welfare Workers Please contact the mental health liaison for authorization for mental health services. If you have already received an authorization for services at WestCoast, you should call during intake hours for a phone interview (15-30 minutes depending on complexity of the problem). We request that you have the child’s SSN, DOB, and Medi-Cal subscriber ID available. When the interview is completed, we request any reports or supplemental information that you can provide to be faxed or mailed to us. Also at the conclusion of the interview, we will fax consents and other preliminary paperwork to you in order to expedite the referral. We understand that you have many demands on your time but we ask for your understanding in order to facilitate delivery of services. San Francisco County Welfare Workers Please contact your mental health liaison or Foster Care Mental Health to request authorization for services at WestCoast. Foster Care Mental Health will make the initial referral to us and we will contact you for more information and to fax our WCC consents and preliminary paperwork to you. We appreciate that your referrals come with an 1122A consent form that allows us to initiate treatment; however, for our quality assurance purposes we request that you also complete our initial paperwork. We understand that you have many demands on your time but we ask for your understanding in order to facilitate delivery of services. Alameda County Welfare Workers WestCoast Children’s Clinic is an Alameda County EPSDT provider. WestCoast Children’s Clinic provides a variety of services for children, youth, and families through our clinic-based and community-based psychotherapy services, psychological assessment programs, and Foster Youth Development Program. 1. Making a Referral.  Please make referrals directly to WestCoast (you do not need to go through ACCESS). We request that you begin the initial referral by calling us at 510-269-9030 and asking for an intake clinician. Or you may leave us a message at 510-269-9043 with your name, the name of the party being referred, date of birth, address, SSN or Medi-Cal number, and a brief message about presenting problem and service requested. An intake clinician will return your call within 1-2 business days, and will spend about 15-20 minutes on the phone with you, gathering information about the child, caretakers, presenting problems, and what kind of services are requested. Additional calls will be made to other appropriate individuals to gather all of the information necessary for services at WCC. See our current Intake Schedule and Process 2. If there are any reports and/or psych evaluations, treatment summaries, etc., which contain useful historical or clinical information on the client, please mail or fax to WestCoast (see address or number below) made to the attention of Dr. Kelley Gin, Clinical Services Administrator. 3.  We realize that you have enormous demands on your time and energy, and that we are asking you to do even more work. However, we have found through experience that to do our job well and collaborate effectively with Social Services we need ALL the above information before starting a case. If you have any questions regarding our intake procedures or any questions about services WCC provides, please call the Clinical Services Administrator, Dr. Kelley Gin, at 510-269-9042. You may also choose to use our fax referral form. Please fill out this form and fax it attention “INTAKE” and we will begin processing the information. We will contact you in order to gather any additional information and to inform you that we will be providing you with the consent forms necessary to begin treatment. other counties At present WCC does not have established contracts with any other county social service department. We typically are not able to serve minors in outside jurisdictions. Occasionally, we are able to accommodate requests for services when the minor is placed or resides near our clinic locations and a contract is established. Please note, we must charge our usual and customary fee for these services.