{"id":87317,"date":"2026-06-26T14:34:39","date_gmt":"2026-06-26T21:34:39","guid":{"rendered":"https:\/\/wp.sbcounty.gov\/dbh\/?page_id=87317"},"modified":"2026-09-24T09:01:02","modified_gmt":"2026-09-24T16:01:02","slug":"departmental-forms","status":"publish","type":"page","link":"https:\/\/wp.sbcounty.gov\/dbh\/forms\/departmental-forms\/","title":{"rendered":"Departmental Forms"},"content":{"rendered":"\n<div data-isd-block-id='isd-slider-block_3f90c28ba34c81940ca74660e963af26' class=\"\">\n\t\t\t<div class=\"hero-slider slider-wrapper\">\n\t\t\t<div id=\"slider-isd-slider-block_3f90c28ba34c81940ca74660e963af26\" class=\"carousel slide slider-carousel slide half\" data-bs-ride=\"carousel\"  data-bs-interval=\"4500\">\n\t\t\t\t<div class=\"carousel-inner slides-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"carousel-item active desk-center-center mobi-center-center half\" data-background=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/Departmental-Forms-Hero-scaled.jpg\"  style=\"\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"hs-slide-wrapper has-content has-overlay\">\n\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t<div class=\"hs-content-wrapper left-align\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-container  dark-background  rounded-corners\">\n\t\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-content text-left\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<div class=\"slide-heading\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<h1 class=\"section-heading\">Departmental Forms<\/h1>\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\n\n\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\n\n\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t<\/div>\n\t\n\n\n<div id=\"isd-breadcrumbs\" class=\"light-background\"><ol aria-label=\"Breadcrumb navigation Currently on Departmental Forms\" class=\"list-unstyled mb-0\"><li><a href=\"https:\/\/wp.sbcounty.gov\/dbh\">Home<\/a> <span class=\"delimiter\">&rsaquo;<\/span><\/li><span class=\"current\">Page<\/span><\/ol><\/div>\n\n\n<section class=\"wp-block-isd-layout\"><div class=\"isd-background-fixed-max-width-container\"><div class=\"isd-layout-content-wrapper\" style=\"max-width:1748px;margin-bottom:0rem;margin-top:0rem;padding-bottom:3.75rem;padding-top:3.75rem\">\n<div class=\"wp-block-isd-row large-100 desktop-none desktop-order-1 tablet-none tablet-order-1 mobile-none mobile-order-1 frontend ctnrQueryRow\" style=\"margin-bottom:0rem;margin-top:0rem\">\n<div class=\"wp-block-isd-column\">\n\n\t<!--   ISD Document Repository -->\n<div class=\"isd-doc-repo-block table-white-background\">\n\t\t\t<table id=\"isd-document-repository-block_05024300d41052ee173c202b00543440\" data-order-dir=\"asc\" data-order-column=\"3\" class=\"isd-doc-repo-block table-striped dt-container \" data-search=\"1\" data-pagination=\"1\" data-sorting=\"true\"  style=\"width:100%\">                        \n\t\t\t\t\t\t\t\t\t\t\t\t<thead>\n\t\t\t\t\t\t<tr class=\"document-repository-row table-row\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<th style=\"width: 7%\" class=\"document-repository-item type-header-first table-heading has-primary-background-color has-white-color\">\n\t\t\t\t\t\t\t\t\tType\t\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<th class=\"document-repository-item type-header-second table-heading has-primary-background-color has-white-color\" rowspan=\"1\" colspan=\"1\">\n\t\t\t\t\t\t\t\tName\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<th class=\"document-repository-item type-header-fourth table-heading has-primary-background-color has-white-color\" rowspan=\"1\" colspan=\"1\">\n\t\t\t\t\t\t\t\t\tModified Date\t\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<th class=\"document-repository-item table-heading has-primary-background-color has-white-color\" rowspan=\"1\" colspan=\"1\">\n\t\t\t\t\t\t\t\t\tProgram and Number\t\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<th class=\"document-repository-item table-heading has-primary-background-color has-white-color\" rowspan=\"1\" colspan=\"1\">\n\t\t\t\t\t\t\t\t\tActions\t\t\t\t\t\t\t\t<\/th>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t<\/thead>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tbody>\n\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-1\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Vietnamese) here: &#038;subject=Document download: NAR Your Rights (Vietnamese)\" aria-label=\"Send NAR Your Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-2\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-LP-1.docx\">NAR Your Rights (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Mandarin Large Print) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-LP-1.docx&#038;subject=Document download: NAR Your Rights (Mandarin Large Print)\" aria-label=\"Send NAR Your Rights (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-LP-1.docx\" aria-label=\"Download NAR Your Rights (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-3\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-1.docx\">NAR Your Rights (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Mandarin) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-1.docx&#038;subject=Document download: NAR Your Rights (Mandarin)\" aria-label=\"Send NAR Your Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_MAN-1.docx\" aria-label=\"Download NAR Your Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-4\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA_LP-1-1.docx\">NAR Your Rights (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Spanish Large Print) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA_LP-1-1.docx&#038;subject=Document download: NAR Your Rights (Spanish Large Print)\" aria-label=\"Send NAR Your Rights (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA_LP-1-1.docx\" aria-label=\"Download NAR Your Rights (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-5\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA-1-1.docx\">NAR Your Rights (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA-1-1.docx&#038;subject=Document download: NAR Your Rights (Spanish)\" aria-label=\"Send NAR Your Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_SPA-1-1.docx\" aria-label=\"Download NAR Your Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-6\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Modification Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Modification Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-7\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_VE-LP-1.docx\">NAR Your Rights (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Vietnamese Large Print) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_VE-LP-1.docx&#038;subject=Document download: NAR Your Rights (Vietnamese Large Print)\" aria-label=\"Send NAR Your Rights (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated_VE-LP-1.docx\" aria-label=\"Download NAR Your Rights (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-8\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated-_VE-1.docx\">NAR Your Rights (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\t QM025_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Vietnamese Large Print) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated-_VE-1.docx&#038;subject=Document download: NAR Your Rights (Vietnamese Large Print)\" aria-label=\"Send NAR Your Rights (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM025-NAR-Your-Rights-Attachment-Updated-_VE-1.docx\" aria-label=\"Download NAR Your Rights (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-9\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Spanish Large Print) here: &#038;subject=Document download: NAR Your Rights (Spanish Large Print)\" aria-label=\"Send NAR Your Rights (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-10\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Mandarin) here: &#038;subject=Document download: NAR Your Rights (Mandarin)\" aria-label=\"Send NAR Your Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-11\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Mandarin Large Print) here: &#038;subject=Document download: NAR Your Rights (Mandarin Large Print)\" aria-label=\"Send NAR Your Rights (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-12\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Bomb Threat Checklist<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260825\">\n\t\t\t\t\t\t\t\t\t08\/25\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\t SFT050\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Bomb Threat Checklist here: &#038;subject=Document download: Bomb Threat Checklist\" aria-label=\"Send Bomb Threat Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Bomb Threat Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-13\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Coding Division Inquiry Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260824\">\n\t\t\t\t\t\t\t\t\t08\/24\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM049\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Coding Division Inquiry Form here: &#038;subject=Document download: Coding Division Inquiry Form\" aria-label=\"Send Coding Division Inquiry Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Coding Division Inquiry Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-14\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Standard Practice Manual Request Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260421\">\n\t\t\t\t\t\t\t\t\t04\/21\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tBOP013\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Standard Practice Manual Request Form here: &#038;subject=Document download: Standard Practice Manual Request Form\" aria-label=\"Send Standard Practice Manual Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Standard Practice Manual Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-15\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Benefit Determination Upheld (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Benefit Determination Upheld (Mandarin Large Print) here: &#038;subject=Document download: Benefit Determination Upheld (Mandarin Large Print)\" aria-label=\"Send Benefit Determination Upheld (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Benefit Determination Upheld (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-16\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Mandarin) here: &#038;subject=Document download: Adverse Benefit Determination Upheld (Mandarin)\" aria-label=\"Send Adverse Benefit Determination Upheld (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-17\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Spanish Large Print) here: &#038;subject=Document download: Adverse Benefit Determination Upheld (Spanish Large Print)\" aria-label=\"Send Adverse Benefit Determination Upheld (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-18\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Spanish) here: &#038;subject=Document download: Adverse Benefit Determination Upheld (Spanish)\" aria-label=\"Send Adverse Benefit Determination Upheld (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-19\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Large Print) here: &#038;subject=Document download: Adverse Benefit Determination Upheld (Large Print)\" aria-label=\"Send Adverse Benefit Determination Upheld (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-20\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld here: &#038;subject=Document download: Adverse Benefit Determination Upheld\" aria-label=\"Send Adverse Benefit Determination Upheld\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-21\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights here: &#038;subject=Document download: NAR Your Rights\" aria-label=\"Send NAR Your Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-22\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Language Assistance Taglines<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250303\">\n\t\t\t\t\t\t\t\t\t03\/03\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM027\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Language Assistance Taglines here: &#038;subject=Document download: Language Assistance Taglines\" aria-label=\"Send Language Assistance Taglines\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Language Assistance Taglines\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-23\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Letter of Support Cover Sheet<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260618\">\n\t\t\t\t\t\t\t\t\t06\/18\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tBOP043\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Letter of Support Cover Sheet here: &#038;subject=Document download: Letter of Support Cover Sheet\" aria-label=\"Send Letter of Support Cover Sheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Letter of Support Cover Sheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-24\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Access to Medical Records Request (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260324\">\n\t\t\t\t\t\t\t\t\t03\/24\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM021_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Access to Medical Records Request (Vietnamese) here: &#038;subject=Document download: Access to Medical Records Request (Vietnamese)\" aria-label=\"Send Access to Medical Records Request (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Access to Medical Records Request (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-25\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"docx\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/docx-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM031-Adverse-Benefit-Determination-Upheld_VI_Large-Print-Final.docx\">Adverse Benefit Determination Upheld (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\t QM031_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Vietnamese Large Print) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM031-Adverse-Benefit-Determination-Upheld_VI_Large-Print-Final.docx&#038;subject=Document download: Adverse Benefit Determination Upheld (Vietnamese Large Print)\" aria-label=\"Send Adverse Benefit Determination Upheld (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM031-Adverse-Benefit-Determination-Upheld_VI_Large-Print-Final.docx\" aria-label=\"Download Adverse Benefit Determination Upheld (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-26\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adverse Benefit Determination Upheld (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM031_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adverse Benefit Determination Upheld (Vietnamese) here: &#038;subject=Document download: Adverse Benefit Determination Upheld (Vietnamese)\" aria-label=\"Send Adverse Benefit Determination Upheld (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adverse Benefit Determination Upheld (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-27\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name 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aria-label=\"Download Access to Medical Records Request (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-28\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Clozaril Side Effect Checklist<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260505\">\n\t\t\t\t\t\t\t\t\t05\/05\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS024\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Clozaril Side Effect Checklist here: &#038;subject=Document download: Clozaril Side Effect Checklist\" aria-label=\"Send Clozaril Side Effect Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Clozaril Side Effect Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas 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class=\"document-repository-item table-cell\" data-sort=\"20260501\">\n\t\t\t\t\t\t\t\t\t05\/01\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP056\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Mobile Crisis Assessment Tool (MCAT) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP056-MCAT-Crisis-Tool_Final.pdf&#038;subject=Document download: Mobile Crisis Assessment Tool (MCAT)\" aria-label=\"Send Mobile Crisis Assessment Tool (MCAT)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP056-MCAT-Crisis-Tool_Final.pdf\" aria-label=\"Download Mobile Crisis 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class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT007-D\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH $119 Hotel\/Motel Monthly Summary-Claim for Reimbursement here: &#038;subject=Document download: BHBH $119 Hotel\/Motel Monthly Summary-Claim for Reimbursement\" aria-label=\"Send BHBH $119 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download BHBH $119 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-31\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Duty to Protect Intended Victim Letter (Printable) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260223\">\n\t\t\t\t\t\t\t\t\t02\/23\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP063_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Duty to Protect Intended Victim Letter (Printable) (Mandarin) here: &#038;subject=Document download: Duty to Protect Intended Victim Letter (Printable) (Mandarin)\" aria-label=\"Send Duty to Protect Intended Victim Letter (Printable) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Duty to Protect Intended Victim Letter (Printable) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-32\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Protect Intended Victim Letter (Printable) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260223\">\n\t\t\t\t\t\t\t\t\t02\/23\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\t CLP063_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Protect Intended Victim Letter (Printable) (Vietnamese) here: &#038;subject=Document download: Protect Intended Victim Letter (Printable) (Vietnamese)\" aria-label=\"Send Protect Intended Victim Letter (Printable) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Protect Intended Victim Letter (Printable) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-33\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\"> Duty to Protect Intended Victim Letter (Printable) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260223\">\n\t\t\t\t\t\t\t\t\t02\/23\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP063_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  Duty to Protect Intended Victim Letter (Printable) (Spanish) here: &#038;subject=Document download:  Duty to Protect Intended Victim Letter (Printable) (Spanish)\" aria-label=\"Send  Duty to Protect Intended Victim Letter (Printable) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download  Duty to Protect Intended Victim Letter (Printable) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-34\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Duty to Protect Intended Victim Letter (Printable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP063\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Duty to Protect Intended Victim Letter (Printable) here: &#038;subject=Document download: Duty to Protect Intended Victim Letter (Printable)\" aria-label=\"Send Duty to Protect Intended Victim Letter (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Duty to Protect Intended Victim Letter (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas 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data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT007-C\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH $90 Hotel\/Motel Monthly Summary-Claim for Reimbursement here: &#038;subject=Document download: BHBH $90 Hotel\/Motel Monthly Summary-Claim for Reimbursement\" aria-label=\"Send BHBH $90 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download BHBH $90 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-37\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Specialty Crisis Note<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260213\">\n\t\t\t\t\t\t\t\t\t02\/13\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP070\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Specialty Crisis Note here: &#038;subject=Document download: Specialty Crisis Note\" aria-label=\"Send Specialty Crisis Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Specialty Crisis Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-38\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Triage Transition Services (TTS) Progress Note<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251217\">\n\t\t\t\t\t\t\t\t\t12\/17\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP057\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Triage Transition Services (TTS) Progress Note here: &#038;subject=Document download: Triage Transition Services (TTS) Progress Note\" aria-label=\"Send Triage Transition Services (TTS) Progress Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Triage Transition Services (TTS) Progress Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-39\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-B-BHBH-85-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf\">BHBH $85 Hotel\/Motel Monthly Summary-Claim for Reimbursement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT007-B\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH $85 Hotel\/Motel Monthly Summary-Claim for Reimbursement here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-B-BHBH-85-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf&#038;subject=Document download: BHBH $85 Hotel\/Motel Monthly Summary-Claim for Reimbursement\" aria-label=\"Send BHBH $85 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-B-BHBH-85-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf\" aria-label=\"Download BHBH $85 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-40\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-A-BHBH-75-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf\">BHBH $75 Hotel\/Motel Monthly Summary-Claim for Reimbursement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\t ADT007-A\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH $75 Hotel\/Motel Monthly Summary-Claim for Reimbursement here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-A-BHBH-75-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf&#038;subject=Document download: BHBH $75 Hotel\/Motel Monthly Summary-Claim for Reimbursement\" aria-label=\"Send BHBH $75 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT007-A-BHBH-75-Hotel.Motel-Monthly-Summary-Claim-for-Reimbursement.pdf\" aria-label=\"Download BHBH $75 Hotel\/Motel Monthly Summary-Claim for Reimbursement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-41\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT006-BHBH-Hotel-Motel-Referral-Voucher-Final-11.6.25.pdf\">BHBH Hotel Motel Shelter Referral Voucher Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT006\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH Hotel Motel Shelter Referral Voucher Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT006-BHBH-Hotel-Motel-Referral-Voucher-Final-11.6.25.pdf&#038;subject=Document download: BHBH Hotel Motel Shelter Referral Voucher Form\" aria-label=\"Send BHBH Hotel Motel Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT006-BHBH-Hotel-Motel-Referral-Voucher-Final-11.6.25.pdf\" aria-label=\"Download BHBH Hotel Motel Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-42\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT005-BHBH-ENHANCED-Shelter-Referral-Voucher-Form-Final-11.10.25.pdf\">BHBH Enhanced Shelter Referral Voucher Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT005\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download BHBH Enhanced Shelter Referral Voucher Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT005-BHBH-ENHANCED-Shelter-Referral-Voucher-Form-Final-11.10.25.pdf&#038;subject=Document download: BHBH Enhanced Shelter Referral Voucher Form\" aria-label=\"Send BHBH Enhanced Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT005-BHBH-ENHANCED-Shelter-Referral-Voucher-Form-Final-11.10.25.pdf\" aria-label=\"Download BHBH Enhanced Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-43\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2026\/01\/MDS002_S-Medication-Consent_SPAN-Version-12.16.25_OEI-Form-Fillable-wTagline.pdf\">Medication Consent for Behavioral Health Condition(s) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251216\">\n\t\t\t\t\t\t\t\t\t12\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS002_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Consent for Behavioral Health Condition(s) (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2026\/01\/MDS002_S-Medication-Consent_SPAN-Version-12.16.25_OEI-Form-Fillable-wTagline.pdf&#038;subject=Document download: Medication Consent for Behavioral Health Condition(s) (Spanish)\" aria-label=\"Send Medication Consent for Behavioral Health Condition(s) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2026\/01\/MDS002_S-Medication-Consent_SPAN-Version-12.16.25_OEI-Form-Fillable-wTagline.pdf\" aria-label=\"Download Medication Consent for Behavioral Health Condition(s) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-44\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS002_E-Medication-Consent_E-Final-English-Version-12.16.25-Form-Fillable-.pdf\">Medication Consent for Behavioral Health Condition(s)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251216\">\n\t\t\t\t\t\t\t\t\t12\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS002_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Consent for Behavioral Health Condition(s) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS002_E-Medication-Consent_E-Final-English-Version-12.16.25-Form-Fillable-.pdf&#038;subject=Document download: Medication Consent for Behavioral Health Condition(s)\" aria-label=\"Send Medication Consent for Behavioral Health Condition(s)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS002_E-Medication-Consent_E-Final-English-Version-12.16.25-Form-Fillable-.pdf\" aria-label=\"Download Medication Consent for Behavioral Health Condition(s)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-45\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Medication Consent for Behavioral Health Condition(s) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251216\">\n\t\t\t\t\t\t\t\t\t12\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS002_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Consent for Behavioral Health Condition(s) (Vietnamese) here: &#038;subject=Document download: Medication Consent for Behavioral Health Condition(s) (Vietnamese)\" aria-label=\"Send Medication Consent for Behavioral Health Condition(s) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Medication Consent for Behavioral Health Condition(s) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-46\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Medication Consent for Behavioral Health Condition(s) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251216\">\n\t\t\t\t\t\t\t\t\t12\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS002_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Consent for Behavioral Health Condition(s) (Mandarin) here: &#038;subject=Document download: Medication Consent for Behavioral Health Condition(s) (Mandarin)\" aria-label=\"Send Medication Consent for Behavioral Health Condition(s) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Medication Consent for Behavioral Health Condition(s) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-47\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT003-Emergency-Shelter-Monthly-Summary-Claim-for-Reimbursement-Final-11.6.25.pdf\">Emergency Shelter Monthly Summary Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT003\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Emergency Shelter Monthly Summary Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT003-Emergency-Shelter-Monthly-Summary-Claim-for-Reimbursement-Final-11.6.25.pdf&#038;subject=Document download: Emergency Shelter Monthly Summary Form\" aria-label=\"Send Emergency Shelter Monthly Summary Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/ADT003-Emergency-Shelter-Monthly-Summary-Claim-for-Reimbursement-Final-11.6.25.pdf\" aria-label=\"Download Emergency Shelter Monthly Summary Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-48\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/ADT002-Emergency-Shelter-Referral-Voucher-Form-Final-11.6.25.pdf\">Emergency Shelter Referral Voucher Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251110\">\n\t\t\t\t\t\t\t\t\t11\/10\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tADT002\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Emergency Shelter Referral Voucher Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/ADT002-Emergency-Shelter-Referral-Voucher-Form-Final-11.6.25.pdf&#038;subject=Document download: Emergency Shelter Referral Voucher Form\" aria-label=\"Send Emergency Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/ADT002-Emergency-Shelter-Referral-Voucher-Form-Final-11.6.25.pdf\" aria-label=\"Download Emergency Shelter Referral Voucher Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-49\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Comment Card<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCUL010\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Comment Card here: &#038;subject=Document download: Client Comment Card\" aria-label=\"Send Client Comment Card\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Comment Card\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-50\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Interpreter Feedback Form for DBH Staff<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCUL011\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Interpreter Feedback Form for DBH Staff here: &#038;subject=Document download: Interpreter Feedback Form for DBH Staff\" aria-label=\"Send Interpreter Feedback Form for DBH Staff\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Interpreter Feedback Form for DBH Staff\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-51\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client &#8211; English<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS030\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client - English here: &#038;subject=Document download: Notice to Patient Client - English\" aria-label=\"Send Notice to Patient Client - English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client - English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-52\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client &#8211; Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client - Spanish here: &#038;subject=Document download: Notice to Patient Client - Spanish\" aria-label=\"Send Notice to Patient Client - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-53\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client &#8211; Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS030_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client - Mandarin here: &#038;subject=Document download: Notice to Patient Client - Mandarin\" aria-label=\"Send Notice to Patient Client - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-54\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client &#8211; Vietnamese<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS030_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client - Vietnamese here: &#038;subject=Document download: Notice to Patient Client - Vietnamese\" aria-label=\"Send Notice to Patient Client - Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client - Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-55\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client D.O. &#8211; English<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS031\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client D.O. - English here: &#038;subject=Document download: Notice to Patient Client D.O. - English\" aria-label=\"Send Notice to Patient Client D.O. - English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client D.O. - English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-56\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Confidentiality Privacy and Security Compliance Training FAQs<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250416\">\n\t\t\t\t\t\t\t\t\t04\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Confidentiality Privacy and Security Compliance Training FAQs here: &#038;subject=Document download: Confidentiality Privacy and Security Compliance Training FAQs\" aria-label=\"Send 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fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client D.O. &#8211; Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS031_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client D.O. - Spanish here: &#038;subject=Document download: Notice to Patient Client D.O. - Spanish\" aria-label=\"Send Notice to Patient Client D.O. - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client D.O. - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-58\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client D.O. &#8211; Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS031_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client D.O. - Mandarin here: &#038;subject=Document download: Notice to Patient Client D.O. - Mandarin\" aria-label=\"Send Notice to Patient Client D.O. - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client D.O. - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-59\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Patient Client D.O. &#8211; Vietnemese<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230614\">\n\t\t\t\t\t\t\t\t\t06\/14\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS031_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Patient Client D.O. - Vietnemese here: &#038;subject=Document download: Notice to Patient Client D.O. - Vietnemese\" aria-label=\"Send Notice to Patient Client D.O. - Vietnemese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Patient Client D.O. - Vietnemese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-60\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Statement of Awareness <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230331\">\n\t\t\t\t\t\t\t\t\t03\/31\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tHR003\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Statement of Awareness  here: &#038;subject=Document download: Statement of Awareness \" aria-label=\"Send Statement of Awareness \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Statement of Awareness \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-61\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Naloxone Distribution Project Acknowledgement Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS026\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Naloxone Distribution Project Acknowledgement Form here: &#038;subject=Document download: Naloxone Distribution Project Acknowledgement Form\" aria-label=\"Send Naloxone Distribution Project Acknowledgement Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Naloxone Distribution Project Acknowledgement Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-62\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Naloxone Distribution Project Acknowledgement Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS026_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Naloxone Distribution Project Acknowledgement Form (Spanish) here: &#038;subject=Document download: Naloxone Distribution Project Acknowledgement Form (Spanish)\" aria-label=\"Send Naloxone Distribution Project Acknowledgement Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Naloxone Distribution Project Acknowledgement Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-63\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Enhanced CareManager (ECM) Progress Note<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250425\">\n\t\t\t\t\t\t\t\t\t04\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP062\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Enhanced CareManager (ECM) Progress Note here: &#038;subject=Document download: Enhanced CareManager (ECM) Progress Note\" aria-label=\"Send Enhanced CareManager (ECM) Progress Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Enhanced CareManager (ECM) Progress Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-64\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Naloxone Distribution Project Acknowledgement Form (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS026_V \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Naloxone Distribution Project Acknowledgement Form (Vietnamese) here: &#038;subject=Document download: Naloxone Distribution Project Acknowledgement Form (Vietnamese)\" aria-label=\"Send Naloxone Distribution Project Acknowledgement Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Naloxone Distribution Project Acknowledgement Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-65\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Naloxone Distribution Project Acknowledgement Form (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS026_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Naloxone Distribution Project Acknowledgement Form (Mandarin) here: &#038;subject=Document download: Naloxone Distribution Project Acknowledgement Form (Mandarin)\" aria-label=\"Send Naloxone Distribution Project Acknowledgement Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Naloxone Distribution Project Acknowledgement Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-66\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Substance Use Screening Log<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230124\">\n\t\t\t\t\t\t\t\t\t01\/24\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS055\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Substance Use Screening Log here: &#038;subject=Document download: Substance Use Screening Log\" aria-label=\"Send Substance Use Screening Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Substance Use Screening Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-67\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260217\">\n\t\t\t\t\t\t\t\t\t02\/17\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM004_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin) here: &#038;subject=Document download: Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin)\" aria-label=\"Send Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-68\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Tuberculosis Screening Questionnaire<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240502\">\n\t\t\t\t\t\t\t\t\t05\/02\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS059\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Tuberculosis Screening Questionnaire here: &#038;subject=Document download: Tuberculosis Screening Questionnaire\" aria-label=\"Send Tuberculosis Screening Questionnaire\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Tuberculosis Screening Questionnaire\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-69\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260217\">\n\t\t\t\t\t\t\t\t\t02\/17\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM004_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish) here: &#038;subject=Document download: Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish)\" aria-label=\"Send Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-70\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (V)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260217\">\n\t\t\t\t\t\t\t\t\t02\/17\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM004_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (V) here: &#038;subject=Document download: Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (V)\" aria-label=\"Send Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (V)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices (V)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-71\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Change of Provider Request Form \u2013 18pt. font (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220628\">\n\t\t\t\t\t\t\t\t\t06\/28\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM047_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Change of Provider Request Form \u2013 18pt. font (Spanish) here: &#038;subject=Document download: Change of Provider Request Form \u2013 18pt. font (Spanish)\" aria-label=\"Send Change of Provider Request Form \u2013 18pt. font (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Change of Provider Request Form \u2013 18pt. font (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-72\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\"> Request for Translation and Interpretation Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240612\">\n\t\t\t\t\t\t\t\t\t06\/12\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCUL012\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  Request for Translation and Interpretation Services here: &#038;subject=Document download:  Request for Translation and Interpretation Services\" aria-label=\"Send  Request for Translation and Interpretation Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download  Request for Translation and Interpretation Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-73\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL002-Translation-Service-Request_Final.pdf\">Translation Service Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250825\">\n\t\t\t\t\t\t\t\t\t08\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCUL002\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Translation Service Request here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL002-Translation-Service-Request_Final.pdf&#038;subject=Document download: Translation Service Request\" aria-label=\"Send Translation Service Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL002-Translation-Service-Request_Final.pdf\" aria-label=\"Download Translation Service Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-74\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL006-Interpretation-Service-Request_RC-Updated.pdf\">Interpretation Service Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250825\">\n\t\t\t\t\t\t\t\t\t08\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCUL006\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Interpretation Service Request here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL006-Interpretation-Service-Request_RC-Updated.pdf&#038;subject=Document download: Interpretation Service Request\" aria-label=\"Send Interpretation Service Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CUL006-Interpretation-Service-Request_RC-Updated.pdf\" aria-label=\"Download Interpretation Service Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-75\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220802\">\n\t\t\t\t\t\t\t\t\t08\/02\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS040_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish) here: &#038;subject=Document download: Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish)\" aria-label=\"Send Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Opioid Agreement for Buprenorphine Medication Assisted Treatment (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-76\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Opioid Agreement for Buprenorphine Medication Assisted Treatment (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220802\">\n\t\t\t\t\t\t\t\t\t08\/02\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS040_E \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Opioid Agreement for Buprenorphine Medication Assisted Treatment (English) here: &#038;subject=Document download: Opioid Agreement for Buprenorphine Medication Assisted Treatment (English)\" aria-label=\"Send Opioid Agreement for Buprenorphine Medication Assisted Treatment (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Opioid Agreement for Buprenorphine Medication Assisted Treatment (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-77\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Large Print) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Large Print)\" aria-label=\"Send Delivery System Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-78\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Spanish) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Spanish)\" aria-label=\"Send Delivery System Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-79\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Spanish Large Print)\" aria-label=\"Send Delivery System Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-80\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Mandarin)\" aria-label=\"Send Delivery System Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-81\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send Delivery System Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-82\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Vietnamese)\" aria-label=\"Send Delivery System Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-83\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Delivery System Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Delivery System Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-84\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Large Print) here: &#038;subject=Document download: Notice of Grievance Resolution (Large Print)\" aria-label=\"Send Notice of Grievance Resolution (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-85\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250308\">\n\t\t\t\t\t\t\t\t\t03\/08\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Spanish) here: &#038;subject=Document download: Notice of Grievance Resolution (Spanish)\" aria-label=\"Send Notice of Grievance Resolution (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-86\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Spanish Large Print) here: &#038;subject=Document download: Notice of Grievance Resolution (Spanish Large Print)\" aria-label=\"Send Notice of Grievance Resolution (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-87\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Mandarin) here: &#038;subject=Document download: Notice of Grievance Resolution (Mandarin)\" aria-label=\"Send Notice of Grievance Resolution (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-88\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Mandarin Large Print) here: &#038;subject=Document download: Notice of Grievance Resolution (Mandarin Large Print)\" aria-label=\"Send Notice of Grievance Resolution (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-89\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Vietnamese) here: &#038;subject=Document download: Notice of Grievance Resolution (Vietnamese)\" aria-label=\"Send Notice of Grievance Resolution (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-90\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution (Vietnamese Large Print) here: &#038;subject=Document download: Notice of Grievance Resolution (Vietnamese Large Print)\" aria-label=\"Send Notice of Grievance Resolution (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-91\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Electronic Signature Request Checklist                                                        <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260720\">\n\t\t\t\t\t\t\t\t\t07\/20\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM043\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Electronic Signature Request Checklist                                                         here: &#038;subject=Document download: Electronic Signature Request Checklist                                                        \" aria-label=\"Send Electronic Signature Request Checklist                                                        \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Electronic Signature Request Checklist                                                        \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-92\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">FFS Provider Conflict of Interest\/Disclosures<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260113\">\n\t\t\t\t\t\t\t\t\t01\/13\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM047\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download FFS Provider Conflict of Interest\/Disclosures here: &#038;subject=Document download: FFS Provider Conflict of Interest\/Disclosures\" aria-label=\"Send FFS Provider Conflict of Interest\/Disclosures\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download FFS Provider Conflict of Interest\/Disclosures\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-93\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Out of Network Services Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220712\">\n\t\t\t\t\t\t\t\t\t07\/12\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM039\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Out of Network Services Request here: &#038;subject=Document download: Out of Network Services Request\" aria-label=\"Send Out of Network Services Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Out of Network Services Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-94\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Spanish) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Spanish)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-95\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Spanish Large Print) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Spanish Large Print)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-96\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Mandarin) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Mandarin)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-97\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Mandarin Large Print) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Mandarin Large Print)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-98\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Vietnamese) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Vietnamese)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-99\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Vietnamese Large Print) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Vietnamese Large Print)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-100\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (Large Print) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (Large Print)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-101\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Change of Provider Request Form \u2013 18pt. font (English)                                    <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220628\">\n\t\t\t\t\t\t\t\t\t06\/28\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM047_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Change of Provider Request Form \u2013 18pt. font (English)                                     here: &#038;subject=Document download: Change of Provider Request Form \u2013 18pt. font (English)                                    \" aria-label=\"Send Change of Provider Request Form \u2013 18pt. font (English)                                    \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Change of Provider Request Form \u2013 18pt. font (English)                                    \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-102\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Code of Professional Conduct for Drug and Alcohol Staff<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220505\">\n\t\t\t\t\t\t\t\t\t05\/05\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS001\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Code of Professional Conduct for Drug and Alcohol Staff here: &#038;subject=Document download: Code of Professional Conduct for Drug and Alcohol Staff\" aria-label=\"Send Code of Professional Conduct for Drug and Alcohol Staff\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Code of Professional Conduct for Drug and Alcohol Staff\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-103\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING \u2013 Instructions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220510\">\n\t\t\t\t\t\t\t\t\t05\/10\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS044\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING \u2013 Instructions here: &#038;subject=Document download: Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING \u2013 Instructions\" aria-label=\"Send Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING \u2013 Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adolescent (Age 12-17) and Young Adult ASAM TRIAGE LEVEL OF CARE SCREENING \u2013 Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-104\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Consent for SUD Care Coordination Services (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS035_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent for SUD Care Coordination Services (Spanish) here: &#038;subject=Document download: Consent for SUD Care Coordination Services (Spanish)\" aria-label=\"Send Consent for SUD Care Coordination Services (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Consent for SUD Care Coordination Services (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-105\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Care Coordination Needs Determination Screening Tool (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS036_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Care Coordination Needs Determination Screening Tool (English) here: &#038;subject=Document download: Care Coordination Needs Determination Screening Tool (English)\" aria-label=\"Send Care Coordination Needs Determination Screening Tool (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Care Coordination Needs Determination Screening Tool (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-106\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUD Care Coordination Needs Determination Screening Tool (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS036_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUD Care Coordination Needs Determination Screening Tool (Spanish) here: &#038;subject=Document download: SUD Care Coordination Needs Determination Screening Tool (Spanish)\" aria-label=\"Send SUD Care Coordination Needs Determination Screening Tool (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUD Care Coordination Needs Determination Screening Tool (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-107\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUD Care Coordination Plan (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230601\">\n\t\t\t\t\t\t\t\t\t06\/01\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS037_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUD Care Coordination Plan (English) here: &#038;subject=Document download: SUD Care Coordination Plan (English)\" aria-label=\"Send SUD Care Coordination Plan (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUD Care Coordination Plan (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-108\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUD Care Coordination Plan (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230601\">\n\t\t\t\t\t\t\t\t\t06\/01\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS037_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUD Care Coordination Plan (Vietnamese) here: &#038;subject=Document download: SUD Care Coordination Plan (Vietnamese)\" aria-label=\"Send SUD Care Coordination Plan (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUD Care Coordination Plan (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-109\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUD Care Coordination Plan (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230601\">\n\t\t\t\t\t\t\t\t\t06\/01\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS037_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUD Care Coordination Plan (Mandarin) here: &#038;subject=Document download: SUD Care Coordination Plan (Mandarin)\" aria-label=\"Send SUD Care Coordination Plan (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUD Care Coordination Plan (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-110\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUD Care Coordination Plan (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230601\">\n\t\t\t\t\t\t\t\t\t06\/01\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS037_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUD Care Coordination Plan (Spanish) here: &#038;subject=Document download: SUD Care Coordination Plan (Spanish)\" aria-label=\"Send SUD Care Coordination Plan (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUD Care Coordination Plan (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-111\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Care Coordination Discharge Summary (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS038_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Care Coordination Discharge Summary (English) here: &#038;subject=Document download: Care Coordination Discharge Summary (English)\" aria-label=\"Send Care Coordination Discharge Summary (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Care Coordination Discharge Summary (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-112\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Care Coordination Discharge Summary (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS038_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Care Coordination Discharge Summary (Spanish) here: &#038;subject=Document download: Care Coordination Discharge Summary (Spanish)\" aria-label=\"Send Care Coordination Discharge Summary (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Care Coordination Discharge Summary (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-113\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Administrative Discharge<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS045\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download CalOMS Administrative Discharge here: &#038;subject=Document download: CalOMS Administrative Discharge\" aria-label=\"Send CalOMS Administrative Discharge\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download CalOMS Administrative Discharge\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-114\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Admission<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241216\">\n\t\t\t\t\t\t\t\t\t12\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS046\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download CalOMS Admission here: &#038;subject=Document download: CalOMS Admission\" aria-label=\"Send CalOMS Admission\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download CalOMS Admission\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-115\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Admission Instructions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS047\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download CalOMS Admission Instructions here: &#038;subject=Document download: CalOMS Admission Instructions\" aria-label=\"Send CalOMS Admission Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download CalOMS Admission Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-116\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Standard Discharge<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS048\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download CalOMS Standard Discharge here: &#038;subject=Document download: CalOMS Standard Discharge\" aria-label=\"Send CalOMS Standard Discharge\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download CalOMS Standard Discharge\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-117\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf\">Telehealth Consent Form (Fillable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250731\">\n\t\t\t\t\t\t\t\t\t07\/31\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS042\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Telehealth Consent Form (Fillable) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf&#038;subject=Document download: Telehealth Consent Form (Fillable)\" aria-label=\"Send Telehealth Consent Form (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf\" aria-label=\"Download Telehealth Consent Form (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-118\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf\">Telehealth Consent Form (Printable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250731\">\n\t\t\t\t\t\t\t\t\t07\/31\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS042 (Printable)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Telehealth Consent Form (Printable) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf&#038;subject=Document download: Telehealth Consent Form (Printable)\" aria-label=\"Send Telehealth Consent Form (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form.pdf\" aria-label=\"Download Telehealth Consent Form (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-119\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Standard Discharge Instructions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS049\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download CalOMS Standard Discharge Instructions here: &#038;subject=Document download: CalOMS Standard Discharge Instructions\" aria-label=\"Send CalOMS Standard Discharge Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download CalOMS Standard Discharge Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-120\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Privacy and Security Incident Reporting Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260325\">\n\t\t\t\t\t\t\t\t\t03\/25\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM042\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Privacy and Security Incident Reporting Form here: &#038;subject=Document download: Privacy and Security Incident Reporting Form\" aria-label=\"Send Privacy and Security Incident Reporting Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Privacy and Security Incident Reporting Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-121\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Medi Cal Fee For Service Provider Manual<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMHPFFS51319\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medi Cal Fee For Service Provider Manual here: &#038;subject=Document download: Medi Cal Fee For Service Provider Manual\" aria-label=\"Send Medi Cal Fee For Service Provider Manual\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Medi Cal Fee For Service Provider Manual\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-122\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">DBH Discipline &#8211; Taxonomy Codes<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260804\">\n\t\t\t\t\t\t\t\t\t08\/04\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download DBH Discipline - Taxonomy Codes here: &#038;subject=Document download: DBH Discipline - Taxonomy Codes\" aria-label=\"Send DBH Discipline - Taxonomy Codes\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download DBH Discipline - Taxonomy Codes\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-123\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Staff Master Worksheet Update<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Staff Master Worksheet Update here: &#038;subject=Document download: Staff Master Worksheet Update\" aria-label=\"Send Staff Master Worksheet Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Staff Master Worksheet Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-124\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Staff Master Worksheet<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Staff Master Worksheet here: &#038;subject=Document download: Staff Master Worksheet\" aria-label=\"Send Staff Master Worksheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Staff Master Worksheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-125\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult Screening Tool for Medi-Cal Mental Health Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240926\">\n\t\t\t\t\t\t\t\t\t09\/26\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tDHCS 8765 A\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult Screening Tool for Medi-Cal Mental Health Services here: &#038;subject=Document download: Adult Screening Tool for Medi-Cal Mental Health Services\" aria-label=\"Send Adult Screening Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult Screening Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-126\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Youth Screening Tool for Medi-Cal Mental Health Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240926\">\n\t\t\t\t\t\t\t\t\t09\/26\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tDHCS 8765 C\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Youth Screening Tool for Medi-Cal Mental Health Services here: &#038;subject=Document download: Youth Screening Tool for Medi-Cal Mental Health Services\" aria-label=\"Send Youth Screening Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Youth Screening Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-127\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Transition of Care Tool for Medi-Cal Mental Health Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240926\">\n\t\t\t\t\t\t\t\t\t09\/26\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tDHCS 8765 B\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Transition of Care Tool for Medi-Cal Mental Health Services here: &#038;subject=Document download: Transition of Care Tool for Medi-Cal Mental Health Services\" aria-label=\"Send Transition of Care Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Transition of Care Tool for Medi-Cal Mental Health Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-128\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Mental Health Professional Licensing Waiver Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220830\">\n\t\t\t\t\t\t\t\t\t08\/30\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tDHCS 1739\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Mental Health Professional Licensing Waiver Request here: &#038;subject=Document download: Mental Health Professional Licensing Waiver Request\" aria-label=\"Send Mental Health Professional Licensing Waiver Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Mental Health Professional Licensing Waiver Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-129\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Title 22 Fair Hearing Rights<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230131\">\n\t\t\t\t\t\t\t\t\t01\/31\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS002_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Title 22 Fair Hearing Rights here: &#038;subject=Document download: Title 22 Fair Hearing Rights\" aria-label=\"Send Title 22 Fair Hearing Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Title 22 Fair Hearing Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-130\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Title 22 Fair Hearing Rights (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230131\">\n\t\t\t\t\t\t\t\t\t01\/31\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS002_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Title 22 Fair Hearing Rights (Spanish) here: &#038;subject=Document download: Title 22 Fair Hearing Rights (Spanish)\" aria-label=\"Send Title 22 Fair Hearing Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Title 22 Fair Hearing Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-131\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Title 22 Fair Hearing Rights (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230131\">\n\t\t\t\t\t\t\t\t\t01\/31\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS002_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Title 22 Fair Hearing Rights (Mandarin) here: &#038;subject=Document download: Title 22 Fair Hearing Rights (Mandarin)\" aria-label=\"Send Title 22 Fair Hearing Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Title 22 Fair Hearing Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-132\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Title 22 Fair Hearing Rights (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230131\">\n\t\t\t\t\t\t\t\t\t01\/31\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS002_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Title 22 Fair Hearing Rights (Vietnamese) here: &#038;subject=Document download: Title 22 Fair Hearing Rights (Vietnamese)\" aria-label=\"Send Title 22 Fair Hearing Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Title 22 Fair Hearing Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-133\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Admission Agreement_V<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250113\">\n\t\t\t\t\t\t\t\t\t01\/13\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS022_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Admission Agreement_V here: &#038;subject=Document download: Client Admission Agreement_V\" aria-label=\"Send Client Admission Agreement_V\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Admission Agreement_V\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-134\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Personal Rights \/ Civil Rights<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260408\">\n\t\t\t\t\t\t\t\t\t04\/08\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS003_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Personal Rights \/ Civil Rights here: &#038;subject=Document download: Notice of Personal Rights \/ Civil Rights\" aria-label=\"Send Notice of Personal Rights \/ Civil Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Personal Rights \/ Civil Rights\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-135\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Personal Rights \/ Civil Rights (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231127\">\n\t\t\t\t\t\t\t\t\t11\/27\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS003_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Personal Rights \/ Civil Rights (Spanish) here: &#038;subject=Document download: Notice of Personal Rights \/ Civil Rights (Spanish)\" aria-label=\"Send Notice of Personal Rights \/ Civil Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Personal Rights \/ Civil Rights (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-136\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Personal Rights \/ Civil Rights (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231127\">\n\t\t\t\t\t\t\t\t\t11\/27\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS003_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Personal Rights \/ Civil Rights (Mandarin) here: &#038;subject=Document download: Notice of Personal Rights \/ Civil Rights (Mandarin)\" aria-label=\"Send Notice of Personal Rights \/ Civil Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Personal Rights \/ Civil Rights (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-137\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Admission Agreement <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250113\">\n\t\t\t\t\t\t\t\t\t01\/13\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS022_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Admission Agreement  here: &#038;subject=Document download: Client Admission Agreement \" aria-label=\"Send Client Admission Agreement \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Admission Agreement \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-138\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Personal Rights \/ Civil Rights (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231127\">\n\t\t\t\t\t\t\t\t\t11\/27\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS003_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Personal Rights \/ Civil Rights (Vietnamese) here: &#038;subject=Document download: Notice of Personal Rights \/ Civil Rights (Vietnamese)\" aria-label=\"Send Notice of Personal Rights \/ Civil Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Personal Rights \/ Civil Rights (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-139\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Admission Agreement_M<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250104\">\n\t\t\t\t\t\t\t\t\t01\/04\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS022_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Admission Agreement_M here: &#038;subject=Document download: Client Admission Agreement_M\" aria-label=\"Send Client Admission Agreement_M\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Admission Agreement_M\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-140\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Admission Agreement_S<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250101\">\n\t\t\t\t\t\t\t\t\t01\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS022_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Admission Agreement_S here: &#038;subject=Document download: Client Admission Agreement_S\" aria-label=\"Send Client Admission Agreement_S\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Admission Agreement_S\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-141\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Substance Use Disorder and Recovery Services Intake<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230601\">\n\t\t\t\t\t\t\t\t\t06\/01\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS025\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Substance Use Disorder and Recovery Services Intake here: &#038;subject=Document download: Substance Use Disorder and Recovery Services Intake\" aria-label=\"Send Substance Use Disorder and Recovery Services Intake\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Substance Use Disorder and Recovery Services Intake\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-142\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult (Age 21 and Over) DMC-ODS Transition <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS026\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult (Age 21 and Over) DMC-ODS Transition  here: &#038;subject=Document download: Adult (Age 21 and Over) DMC-ODS Transition \" aria-label=\"Send Adult (Age 21 and Over) DMC-ODS Transition \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult (Age 21 and Over) DMC-ODS Transition \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-143\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Immediate Need Profile<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220506\">\n\t\t\t\t\t\t\t\t\t05\/06\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS027\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Immediate Need Profile here: &#038;subject=Document download: Immediate Need Profile\" aria-label=\"Send Immediate Need Profile\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Immediate Need Profile\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-144\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult (21+) ASAM Level of Care Screening<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250507\">\n\t\t\t\t\t\t\t\t\t05\/07\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS028\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult (21+) ASAM Level of Care Screening here: &#038;subject=Document download: Adult (21+) ASAM Level of Care Screening\" aria-label=\"Send Adult (21+) ASAM Level of Care Screening\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult (21+) ASAM Level of Care Screening\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-145\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_E.pdf\">Handbook Summary and Acknowledgement Form (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS029_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Handbook Summary and Acknowledgement Form (English) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_E.pdf&#038;subject=Document download: Handbook Summary and Acknowledgement Form (English)\" aria-label=\"Send Handbook Summary and Acknowledgement Form (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_E.pdf\" aria-label=\"Download Handbook Summary and Acknowledgement Form (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-146\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_S.pdf\">Handbook Summary and Acknowledgement Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS029_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Handbook Summary and Acknowledgement Form (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_S.pdf&#038;subject=Document download: Handbook Summary and Acknowledgement Form (Spanish)\" aria-label=\"Send Handbook Summary and Acknowledgement Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS029_S.pdf\" aria-label=\"Download Handbook Summary and Acknowledgement Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-147\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_E.pdf\">SUDRS-MH Grievance and Appeals Process Brochure (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS030_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS-MH Grievance and Appeals Process Brochure (English) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_E.pdf&#038;subject=Document download: SUDRS-MH Grievance and Appeals Process Brochure (English)\" aria-label=\"Send SUDRS-MH Grievance and Appeals Process Brochure (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_E.pdf\" aria-label=\"Download SUDRS-MH Grievance and Appeals Process Brochure (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-148\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_S.pdf\">SUDRS-MH Grievance and Appeals Process Brochure (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS-MH Grievance and Appeals Process Brochure (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_S.pdf&#038;subject=Document download: SUDRS-MH Grievance and Appeals Process Brochure (Spanish)\" aria-label=\"Send SUDRS-MH Grievance and Appeals Process Brochure (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030_S.pdf\" aria-label=\"Download SUDRS-MH Grievance and Appeals Process Brochure (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-149\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030-1_S.pdf\">SUDRS-MH Grievance and Appeals Process Brochure- 18pt. font (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS-MH Grievance and Appeals Process Brochure- 18pt. font (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030-1_S.pdf&#038;subject=Document download: SUDRS-MH Grievance and Appeals Process Brochure- 18pt. font (Spanish)\" aria-label=\"Send SUDRS-MH Grievance and Appeals Process Brochure- 18pt. font (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS2030-1_S.pdf\" aria-label=\"Download SUDRS-MH Grievance and Appeals Process Brochure- 18pt. font (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-150\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS-MH Grievance and Appeals Process Brochure-18pt. font (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS030_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS-MH Grievance and Appeals Process Brochure-18pt. font (English) here: &#038;subject=Document download: SUDRS-MH Grievance and Appeals Process Brochure-18pt. font (English)\" aria-label=\"Send SUDRS-MH Grievance and Appeals Process Brochure-18pt. font (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS-MH Grievance and Appeals Process Brochure-18pt. font (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-151\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adolescent (Age 12-17) and Young Adult ASAM Level of Care Screening<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240904\">\n\t\t\t\t\t\t\t\t\t09\/04\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item 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data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/10\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS039\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Recovery Services Plan here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS039.pdf&#038;subject=Document download: Recovery Services Plan\" aria-label=\"Send Recovery Services Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/SUDRS039.pdf\" aria-label=\"Download Recovery Services Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-155\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">CalOMS Admission-Outpatient<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" 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table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download ASAM Level of Care here: &#038;subject=Document download: ASAM Level of Care\" aria-label=\"Send ASAM Level of Care\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download ASAM Level of Care\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-157\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Therapeutic Foster Care (TFC) Prior Authorization Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250416\">\n\t\t\t\t\t\t\t\t\t04\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD022\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Therapeutic Foster Care (TFC) Prior Authorization Request here: &#038;subject=Document download: Therapeutic Foster Care (TFC) Prior Authorization Request\" aria-label=\"Send Therapeutic Foster Care (TFC) Prior Authorization Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Therapeutic Foster Care (TFC) Prior Authorization Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-158\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Screening Tool For Therapeutic Foster Care (TFC) Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250416\">\n\t\t\t\t\t\t\t\t\t04\/16\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD024\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Screening Tool For Therapeutic Foster Care (TFC) Services here: &#038;subject=Document download: Screening Tool For Therapeutic Foster Care (TFC) Services\" aria-label=\"Send Screening Tool For Therapeutic Foster Care (TFC) Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Screening Tool For Therapeutic Foster Care (TFC) Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-159\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">DBH-SUDRS CalOMS Annual Update<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240802\">\n\t\t\t\t\t\t\t\t\t08\/02\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS052\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download DBH-SUDRS CalOMS Annual Update here: &#038;subject=Document download: DBH-SUDRS CalOMS Annual Update\" aria-label=\"Send DBH-SUDRS CalOMS Annual Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download DBH-SUDRS CalOMS Annual Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-160\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD012.pdf\">Therapeutic Behavioral Services Service Assessment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD012\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Therapeutic Behavioral Services Service Assessment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD012.pdf&#038;subject=Document download: Therapeutic Behavioral Services Service Assessment\" aria-label=\"Send Therapeutic Behavioral Services Service Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD012.pdf\" aria-label=\"Download Therapeutic Behavioral Services Service Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-161\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD013.pdf\">Therapeutic Behavioral Services Risk Assessment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD013\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Therapeutic Behavioral Services Risk Assessment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD013.pdf&#038;subject=Document download: Therapeutic Behavioral Services Risk Assessment\" aria-label=\"Send Therapeutic Behavioral Services Risk Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD013.pdf\" aria-label=\"Download Therapeutic Behavioral Services Risk Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-162\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD014.pdf\">Therapeutic Behavioral Services Referral Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD014\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Therapeutic Behavioral Services Referral Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD014.pdf&#038;subject=Document download: Therapeutic Behavioral Services Referral Form\" aria-label=\"Send Therapeutic Behavioral Services Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD014.pdf\" aria-label=\"Download Therapeutic Behavioral Services Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-163\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_E.pdf\">Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD025_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_E.pdf&#038;subject=Document download: Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi)\" aria-label=\"Send Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_E.pdf\" aria-label=\"Download Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-164\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_S.pdf\">Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCHD025_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_S.pdf&#038;subject=Document download: Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) (spanish)\" aria-label=\"Send Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CHD025_S.pdf\" aria-label=\"Download Children\u2019s Interagency Authorization To Exchange Confidential Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-165\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP_CODES.pdf\">Episode Opening And Closing Codes<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP_CODES\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Episode Opening And Closing Codes here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP_CODES.pdf&#038;subject=Document download: Episode Opening And Closing Codes\" aria-label=\"Send Episode Opening And Closing Codes\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP_CODES.pdf\" aria-label=\"Download Episode Opening And Closing Codes\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-166\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Possession of a Weapon Notice for Clinics<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240916\">\n\t\t\t\t\t\t\t\t\t09\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSFT009\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Possession of a Weapon Notice for Clinics here: &#038;subject=Document download: Possession of a Weapon Notice for Clinics\" aria-label=\"Send Possession of a Weapon Notice for Clinics\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Possession of a Weapon Notice for Clinics\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-167\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas 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document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Possession of a Weapon Notice for Clinics_Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240916\">\n\t\t\t\t\t\t\t\t\t09\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSFT009_Mandarin\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Possession of a Weapon Notice for Clinics_Mandarin here: &#038;subject=Document download: Possession of a Weapon Notice for Clinics_Mandarin\" aria-label=\"Send Possession of a Weapon Notice for Clinics_Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas 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of a Weapon Posted Notice for Clinics_Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240916\">\n\t\t\t\t\t\t\t\t\t09\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSFT009_Spanish\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Possession of a Weapon Posted Notice for Clinics_Spanish here: &#038;subject=Document download: Possession of a Weapon Posted Notice for Clinics_Spanish\" aria-label=\"Send Possession of a Weapon Posted Notice for Clinics_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Possession of a Weapon Posted Notice for Clinics_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-170\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250121\">\n\t\t\t\t\t\t\t\t\t01\/21\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP060_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Mandarin) here: &#038;subject=Document download: Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Mandarin)\" aria-label=\"Send Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-171\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250121\">\n\t\t\t\t\t\t\t\t\t01\/21\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP060_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Vietnamese) here: &#038;subject=Document download: Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Vietnamese)\" aria-label=\"Send Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-172\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250121\">\n\t\t\t\t\t\t\t\t\t01\/21\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP060_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults here: &#038;subject=Document download: Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults\" aria-label=\"Send Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Community Crisis Response Teams (CCRT) Consent Letter to Parents and Adults\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-173\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Community Crisis Response Team (CCRT) Consent Letter to Parents and Adults (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250121\">\n\t\t\t\t\t\t\t\t\t01\/21\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP060_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Community Crisis Response Team (CCRT) Consent Letter to Parents and Adults (Spanish) here: &#038;subject=Document download: Community Crisis Response Team (CCRT) Consent Letter to Parents and Adults (Spanish)\" aria-label=\"Send Community Crisis Response Team (CCRT) Consent Letter to Parents and Adults (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Community Crisis Response Team (CCRT) Consent Letter to Parents and Adults (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-174\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP001.pdf\">Client Payment Agreement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP001\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Payment Agreement here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP001.pdf&#038;subject=Document download: Client Payment Agreement\" aria-label=\"Send Client Payment Agreement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP001.pdf\" aria-label=\"Download Client Payment Agreement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-175\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP002.pdf\">Client Episode Summary (csi)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP002\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Episode Summary (csi) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP002.pdf&#038;subject=Document download: Client Episode Summary (csi)\" aria-label=\"Send Client Episode Summary (csi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP002.pdf\" aria-label=\"Download Client Episode Summary (csi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-176\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Initial Contact Form (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210826\">\n\t\t\t\t\t\t\t\t\t08\/26\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP003_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Initial Contact Form (English) here: &#038;subject=Document download: Initial Contact Form (English)\" aria-label=\"Send Initial Contact Form (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Initial Contact Form (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-177\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP003_S.pdf\">Initial Contact Form (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP003_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Initial Contact Form (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP003_S.pdf&#038;subject=Document download: Initial Contact Form (spanish)\" aria-label=\"Send Initial Contact Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP003_S.pdf\" aria-label=\"Download Initial Contact Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-178\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP004.pdf\">Csi Periodic Data<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP004\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Csi Periodic Data here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP004.pdf&#038;subject=Document download: Csi Periodic Data\" aria-label=\"Send Csi Periodic Data\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP004.pdf\" aria-label=\"Download Csi Periodic Data\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-179\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP005.pdf\">Adult Clinical Assessment (a-1)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP005\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult Clinical Assessment (a-1) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP005.pdf&#038;subject=Document download: Adult Clinical Assessment (a-1)\" aria-label=\"Send Adult Clinical Assessment (a-1)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP005.pdf\" aria-label=\"Download Adult Clinical Assessment (a-1)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-180\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Charge Data Correction Invoices<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241120\">\n\t\t\t\t\t\t\t\t\t11\/20\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP010\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Charge Data Correction Invoices here: &#038;subject=Document download: Charge Data Correction Invoices\" aria-label=\"Send Charge Data Correction Invoices\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Charge Data Correction Invoices\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-181\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Universal Charge Data Invoice (Printable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241029\">\n\t\t\t\t\t\t\t\t\t10\/29\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP006 (Printable)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Universal Charge Data Invoice (Printable) here: &#038;subject=Document download: Universal Charge Data Invoice (Printable)\" aria-label=\"Send Universal Charge Data Invoice (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Universal Charge Data Invoice (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-182\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Universal Charge Data Invoice (Fillable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP006 (Fillable)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Universal Charge Data Invoice (Fillable) here: &#038;subject=Document download: Universal Charge Data Invoice (Fillable)\" aria-label=\"Send Universal Charge Data Invoice (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Universal Charge Data Invoice (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-183\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Resource Evaluation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP012\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Resource Evaluation here: &#038;subject=Document download: Client Resource Evaluation\" aria-label=\"Send Client Resource Evaluation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Resource Evaluation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-184\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult Psychiatric Evaluation (Fillable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240905\">\n\t\t\t\t\t\t\t\t\t09\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP013 (Fill)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult Psychiatric Evaluation (Fillable) here: &#038;subject=Document download: Adult Psychiatric Evaluation (Fillable)\" aria-label=\"Send Adult Psychiatric Evaluation (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult Psychiatric Evaluation (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-185\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult Psychiatric Evaluation (Printable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240905\">\n\t\t\t\t\t\t\t\t\t09\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP013 (Print)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult Psychiatric Evaluation (Printable) here: &#038;subject=Document download: Adult Psychiatric Evaluation (Printable)\" aria-label=\"Send Adult Psychiatric Evaluation (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult Psychiatric Evaluation (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-186\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Child Adolescent Psychiatric Evaluation and Update<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241113\">\n\t\t\t\t\t\t\t\t\t11\/13\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP014\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Child Adolescent Psychiatric Evaluation and Update here: &#038;subject=Document download: Child Adolescent Psychiatric Evaluation and Update\" aria-label=\"Send Child Adolescent Psychiatric Evaluation and Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Child Adolescent Psychiatric Evaluation and Update\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-187\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015.pdf\">Child\/adolescent Clinical Assessment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP015\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Child\/adolescent Clinical Assessment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015.pdf&#038;subject=Document download: Child\/adolescent Clinical Assessment\" aria-label=\"Send Child\/adolescent Clinical Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015.pdf\" aria-label=\"Download Child\/adolescent Clinical Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-188\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015-1-Child-Adol-Clinical_Assessment_CANS-SB.pdf\">Child\/adolescent Clinical Assessment-cans-sb<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP015-1\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Child\/adolescent Clinical Assessment-cans-sb here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015-1-Child-Adol-Clinical_Assessment_CANS-SB.pdf&#038;subject=Document download: Child\/adolescent Clinical Assessment-cans-sb\" aria-label=\"Send Child\/adolescent Clinical Assessment-cans-sb\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP015-1-Child-Adol-Clinical_Assessment_CANS-SB.pdf\" aria-label=\"Download Child\/adolescent Clinical Assessment-cans-sb\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-189\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016.pdf\">Physical Assessment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP016_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Physical Assessment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016.pdf&#038;subject=Document download: Physical Assessment\" aria-label=\"Send Physical Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016.pdf\" aria-label=\"Download Physical Assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-190\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016_S.pdf\">Physical Assessment (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP016_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Physical Assessment (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016_S.pdf&#038;subject=Document download: Physical Assessment (spanish)\" aria-label=\"Send Physical Assessment (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP016_S.pdf\" aria-label=\"Download Physical Assessment (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-191\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP017.pdf\">Client Recovery Evaluation (annual)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP017\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Recovery Evaluation (annual) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP017.pdf&#038;subject=Document download: Client Recovery Evaluation (annual)\" aria-label=\"Send Client Recovery Evaluation (annual)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP017.pdf\" aria-label=\"Download Client Recovery Evaluation (annual)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-192\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP018.pdf\">Request To Waive Consumer\u2019s Responsibility To Pay For Medications<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP018\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request To Waive Consumer\u2019s Responsibility To Pay For Medications here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP018.pdf&#038;subject=Document download: Request To Waive Consumer\u2019s Responsibility To Pay For Medications\" aria-label=\"Send Request To Waive Consumer\u2019s Responsibility To Pay For Medications\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP018.pdf\" aria-label=\"Download Request To Waive Consumer\u2019s Responsibility To Pay For Medications\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-193\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP019.pdf\">Care Necessity<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP019\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Care Necessity here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP019.pdf&#038;subject=Document download: Care Necessity\" aria-label=\"Send Care Necessity\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP019.pdf\" aria-label=\"Download Care Necessity\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-194\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Psychological Testing Referral Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220413\">\n\t\t\t\t\t\t\t\t\t04\/13\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP020\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Psychological Testing Referral Form here: &#038;subject=Document download: Psychological Testing Referral Form\" aria-label=\"Send Psychological Testing Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Psychological Testing Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-195\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP021.pdf\">Healthy Homes Screening\/assessment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP021\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Healthy Homes Screening\/assessment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP021.pdf&#038;subject=Document download: Healthy Homes Screening\/assessment\" aria-label=\"Send Healthy Homes Screening\/assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP021.pdf\" aria-label=\"Download Healthy Homes Screening\/assessment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-196\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP022.pdf\">Diagnosis<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP022\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Diagnosis here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP022.pdf&#038;subject=Document download: Diagnosis\" aria-label=\"Send Diagnosis\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP022.pdf\" aria-label=\"Download Diagnosis\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-197\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_E.pdf\">Client Recovery Plan\/issp<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP024_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Recovery Plan\/issp here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_E.pdf&#038;subject=Document download: Client Recovery Plan\/issp\" aria-label=\"Send Client Recovery Plan\/issp\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_E.pdf\" aria-label=\"Download Client Recovery Plan\/issp\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-198\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_S.pdf\">Client Recovery Plan\/issp (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP024_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Recovery Plan\/issp (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_S.pdf&#038;subject=Document download: Client Recovery Plan\/issp (spanish)\" aria-label=\"Send Client Recovery Plan\/issp (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP024_S.pdf\" aria-label=\"Download Client Recovery Plan\/issp (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-199\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP025.pdf\">Discharge Summary<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP025\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Discharge Summary here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP025.pdf&#038;subject=Document download: Discharge Summary\" aria-label=\"Send Discharge Summary\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP025.pdf\" aria-label=\"Download Discharge Summary\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-200\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP026.pdf\">Abnormal Involuntary Movement Scale<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP026\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Abnormal Involuntary Movement Scale here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP026.pdf&#038;subject=Document download: Abnormal Involuntary Movement Scale\" aria-label=\"Send Abnormal Involuntary Movement Scale\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP026.pdf\" aria-label=\"Download Abnormal Involuntary Movement Scale\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-201\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Interdisciplinary Note<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241016\">\n\t\t\t\t\t\t\t\t\t10\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP027\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Interdisciplinary Note here: &#038;subject=Document download: Interdisciplinary Note\" aria-label=\"Send Interdisciplinary Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Interdisciplinary Note\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-202\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Services Teams Actions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240924\">\n\t\t\t\t\t\t\t\t\t09\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP028\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Services Teams Actions here: &#038;subject=Document download: Services Teams Actions\" aria-label=\"Send Services Teams Actions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Services Teams Actions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-203\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Caregiver\u2019s Authorization Affidavit<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP029\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Caregiver\u2019s Authorization Affidavit here: &#038;subject=Document download: Caregiver\u2019s Authorization Affidavit\" aria-label=\"Send Caregiver\u2019s Authorization Affidavit\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Caregiver\u2019s Authorization Affidavit\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-204\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Caregiver\u2019s Authorization Affidavit (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP029_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Caregiver\u2019s Authorization Affidavit (Mandarin) here: &#038;subject=Document download: Caregiver\u2019s Authorization Affidavit (Mandarin)\" aria-label=\"Send Caregiver\u2019s Authorization Affidavit (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Caregiver\u2019s Authorization Affidavit (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-205\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\"> Caregiver\u2019s Authorization Affidavit (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP029_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  Caregiver\u2019s Authorization Affidavit (Vietnamese) here: &#038;subject=Document download:  Caregiver\u2019s Authorization Affidavit (Vietnamese)\" aria-label=\"Send  Caregiver\u2019s Authorization Affidavit (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download  Caregiver\u2019s Authorization Affidavit (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-206\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Caregiver\u2019s Authorization Affidavit (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP029_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Caregiver\u2019s Authorization Affidavit (Spanish) here: &#038;subject=Document download: Caregiver\u2019s Authorization Affidavit (Spanish)\" aria-label=\"Send Caregiver\u2019s Authorization Affidavit (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Caregiver\u2019s Authorization Affidavit (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-207\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP030.pdf\">Request For Verification Of Veterans Status For Mental Health And\/or Substance Abuse Services<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP030\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request For Verification Of Veterans Status For Mental Health And\/or Substance Abuse Services here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP030.pdf&#038;subject=Document download: Request For Verification Of Veterans Status For Mental Health And\/or Substance Abuse Services\" aria-label=\"Send Request For Verification Of Veterans Status For Mental Health And\/or Substance Abuse Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP030.pdf\" aria-label=\"Download Request For Verification Of Veterans Status For Mental Health And\/or Substance Abuse Services\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-208\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP031.pdf\">Consent And Authorization To Exchange Confidential Information For Veterans Status<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP031\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent And Authorization To Exchange Confidential Information For Veterans Status here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP031.pdf&#038;subject=Document download: Consent And Authorization To Exchange Confidential Information For Veterans Status\" aria-label=\"Send Consent And Authorization To Exchange Confidential Information For Veterans Status\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP031.pdf\" aria-label=\"Download Consent And Authorization To Exchange Confidential Information For Veterans Status\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-209\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035.pdf\">Medication Support Services Plan<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP035_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Support Services Plan here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035.pdf&#038;subject=Document download: Medication Support Services Plan\" aria-label=\"Send Medication Support Services Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035.pdf\" aria-label=\"Download Medication Support Services Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-210\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035_S.pdf\">Medication Support Services Plan (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP035_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Support Services Plan (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035_S.pdf&#038;subject=Document download: Medication Support Services Plan (spanish)\" aria-label=\"Send Medication Support Services Plan (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP035_S.pdf\" aria-label=\"Download Medication Support Services Plan (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-211\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042.pdf\">Release And Hold Harmless Agreement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP042_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Release And Hold Harmless Agreement here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042.pdf&#038;subject=Document download: Release And Hold Harmless Agreement\" aria-label=\"Send Release And Hold Harmless Agreement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042.pdf\" aria-label=\"Download Release And Hold Harmless Agreement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-212\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042_S.pdf\">Release And Hold Harmless Agreement (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP042_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Release And Hold Harmless Agreement (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042_S.pdf&#038;subject=Document download: Release And Hold Harmless Agreement (spanish)\" aria-label=\"Send Release And Hold Harmless Agreement (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP042_S.pdf\" aria-label=\"Download Release And Hold Harmless Agreement (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-213\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP043.pdf\">Host Care Plan<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP043\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Host Care Plan here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP043.pdf&#038;subject=Document download: Host Care Plan\" aria-label=\"Send Host Care Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP043.pdf\" aria-label=\"Download Host Care Plan\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-214\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP044.pdf\">Interdisciplinary Care Team (ict) Referral Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP044\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Interdisciplinary Care Team (ict) Referral Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP044.pdf&#038;subject=Document download: Interdisciplinary Care Team (ict) Referral Form\" aria-label=\"Send Interdisciplinary Care Team (ict) Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP044.pdf\" aria-label=\"Download Interdisciplinary Care Team (ict) Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-215\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">DBH 5150\/5585 Assessment\/Evaluation\/Crisis Form (DHCS 1801)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260713\">\n\t\t\t\t\t\t\t\t\t07\/13\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP050\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download DBH 5150\/5585 Assessment\/Evaluation\/Crisis Form (DHCS 1801) here: &#038;subject=Document download: DBH 5150\/5585 Assessment\/Evaluation\/Crisis Form (DHCS 1801)\" aria-label=\"Send DBH 5150\/5585 Assessment\/Evaluation\/Crisis Form (DHCS 1801)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download DBH 5150\/5585 Assessment\/Evaluation\/Crisis Form (DHCS 1801)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-216\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP051.pdf\">Columbia-suicide Severity Rating Scale<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP051\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Columbia-suicide Severity Rating Scale here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP051.pdf&#038;subject=Document download: Columbia-suicide Severity Rating Scale\" aria-label=\"Send Columbia-suicide Severity Rating Scale\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLP051.pdf\" aria-label=\"Download Columbia-suicide Severity Rating Scale\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-217\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"doc\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/doc-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM001.doc\">Chart Audit Tool<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM001\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Chart Audit Tool here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM001.doc&#038;subject=Document download: Chart Audit Tool\" aria-label=\"Send Chart Audit Tool\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM001.doc\" aria-label=\"Download Chart Audit Tool\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-218\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM005.pdf\">Annual Psychiatric Assessment Review Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM005\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Annual Psychiatric Assessment Review Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM005.pdf&#038;subject=Document download: Annual Psychiatric Assessment Review Form\" aria-label=\"Send Annual Psychiatric Assessment Review Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM005.pdf\" aria-label=\"Download Annual Psychiatric Assessment Review Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-219\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018.pdf\">Referral Summary for Referral to Managed Care Plan (MCP)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM018\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Referral Summary for Referral to Managed Care Plan (MCP) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018.pdf&#038;subject=Document download: Referral Summary for Referral to Managed Care Plan (MCP)\" aria-label=\"Send Referral Summary for Referral to Managed Care Plan (MCP)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018.pdf\" aria-label=\"Download Referral Summary for Referral to Managed Care Plan (MCP)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-220\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018-1.pdf\">Guidelines For Completing Referral Summary For Referral To Managed Care Plan (mcp) Attachment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM018_1\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Guidelines For Completing Referral Summary For Referral To Managed Care Plan (mcp) Attachment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018-1.pdf&#038;subject=Document download: Guidelines For Completing Referral Summary For Referral To Managed Care Plan (mcp) Attachment\" aria-label=\"Send Guidelines For Completing Referral Summary For Referral To Managed Care Plan (mcp) Attachment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM018-1.pdf\" aria-label=\"Download Guidelines For Completing Referral Summary For Referral To Managed Care Plan (mcp) Attachment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-221\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_E.pdf\">Tier Transition Letter Attachment Ii<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM020_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Tier Transition Letter Attachment Ii here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_E.pdf&#038;subject=Document download: Tier Transition Letter Attachment Ii\" aria-label=\"Send Tier Transition Letter Attachment Ii\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_E.pdf\" aria-label=\"Download Tier Transition Letter Attachment Ii\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-222\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_S.pdf\">Tier Transition Letter Attachment Ii (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM020_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Tier Transition Letter Attachment Ii (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_S.pdf&#038;subject=Document download: Tier Transition Letter Attachment Ii (spanish)\" aria-label=\"Send Tier Transition Letter Attachment Ii (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM020_S.pdf\" aria-label=\"Download Tier Transition Letter Attachment Ii (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-223\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Mandarin Large Print)\" aria-label=\"Send Your Rights Attachment (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-224\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Spanish Large Print)\" aria-label=\"Send Your Rights Attachment (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-225\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Your Rights Attachment (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-226\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Vietnamese) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Vietnamese)\" aria-label=\"Send Your Rights Attachment (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-227\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Spanish) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Spanish)\" aria-label=\"Send Your Rights Attachment (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-228\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Mandarin) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Mandarin)\" aria-label=\"Send Your Rights Attachment (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-229\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (English) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (English)\" aria-label=\"Send Your Rights Attachment (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-230\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Beneficiary Nondiscrimination Notice (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM026_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Beneficiary Nondiscrimination Notice (English) here: &#038;subject=Document download: Beneficiary Nondiscrimination Notice (English)\" aria-label=\"Send Beneficiary Nondiscrimination Notice (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Beneficiary Nondiscrimination Notice (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-231\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Modification Notice (NOABD) (Vietnamese)\" aria-label=\"Send Modification Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-232\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Modification Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send Modification Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-233\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Modification Notice (NOABD) (Mandarin)\" aria-label=\"Send Modification Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-234\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Modification Notice (NOABD) (Spanish Large Print)\" aria-label=\"Send Modification Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-235\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Delivery System Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM029_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delivery System Notice (NOABD) here: &#038;subject=Document download: Delivery System Notice (NOABD)\" aria-label=\"Send Delivery System Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Delivery System Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-236\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Large Print) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Large Print)\" aria-label=\"Send Timely Access Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-237\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Financial Liability Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM078\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Financial Liability Notice (NOABD) (Large Print) here: &#038;subject=Document download: Financial Liability Notice (NOABD) (Large Print)\" aria-label=\"Send Financial Liability Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Financial Liability Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-238\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Large Print) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Large Print)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-239\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Large Print) here: &#038;subject=Document download: Termination Notice (NOABD) (Large Print)\" aria-label=\"Send Termination Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-240\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Large Print) here: &#038;subject=Document download: Modification Notice (NOABD) (Large Print)\" aria-label=\"Send Modification Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-241\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (English) here: &#038;subject=Document download: Modification Notice (NOABD) (English)\" aria-label=\"Send Modification Notice (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-242\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231115\">\n\t\t\t\t\t\t\t\t\t11\/15\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Modification Notice (NOABD) (Mandarin)\" aria-label=\"Send Modification Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-243\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Modification Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Modification Notice (NOABD) (Spanish) here: &#038;subject=Document download: Modification Notice (NOABD) (Spanish)\" aria-label=\"Send Modification Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Modification Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-244\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Change Order Request Routing Slip<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250212\">\n\t\t\t\t\t\t\t\t\t02\/12\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM044\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Change Order Request Routing Slip here: &#038;subject=Document download: Change Order Request Routing Slip\" aria-label=\"Send Change Order Request Routing Slip\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Change Order Request Routing Slip\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-245\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM046.pdf\">State Pre-audit Chart Review Audit Tool<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM046\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download State Pre-audit Chart Review Audit Tool here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM046.pdf&#038;subject=Document download: State Pre-audit Chart Review Audit Tool\" aria-label=\"Send State Pre-audit Chart Review Audit Tool\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM046.pdf\" aria-label=\"Download State Pre-audit Chart Review Audit Tool\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-246\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Change of Provider Request Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220628\">\n\t\t\t\t\t\t\t\t\t06\/28\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM047_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Change of Provider Request Form here: &#038;subject=Document download: Change of Provider Request Form\" aria-label=\"Send Change of Provider Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Change of Provider Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-247\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Change of Provider Request Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220628\">\n\t\t\t\t\t\t\t\t\t06\/28\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM047_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Change of Provider Request Form (Spanish) here: &#038;subject=Document download: Change of Provider Request Form (Spanish)\" aria-label=\"Send Change of Provider Request Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Change of Provider Request Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-248\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Request for Second Opinion  QM048_E  Revised!<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210824\">\n\t\t\t\t\t\t\t\t\t08\/24\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM048_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request for Second Opinion  QM048_E  Revised! here: &#038;subject=Document download: Request for Second Opinion  QM048_E  Revised!\" aria-label=\"Send Request for Second Opinion  QM048_E  Revised!\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Request for Second Opinion  QM048_E  Revised!\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-249\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Request for Second Opinion (Spanish)  QM048_S  Revised!<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210824\">\n\t\t\t\t\t\t\t\t\t08\/24\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM048_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request for Second Opinion (Spanish)  QM048_S  Revised! here: &#038;subject=Document download: Request for Second Opinion (Spanish)  QM048_S  Revised!\" aria-label=\"Send Request for Second Opinion (Spanish)  QM048_S  Revised!\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Request for Second Opinion (Spanish)  QM048_S  Revised!\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-250\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM049.pdf\">Mental Health And Alcohol And Drug Services Agency Evaluation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM049\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Mental Health And Alcohol And Drug Services Agency Evaluation here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM049.pdf&#038;subject=Document download: Mental Health And Alcohol And Drug Services Agency Evaluation\" aria-label=\"Send Mental Health And Alcohol And Drug Services Agency Evaluation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM049.pdf\" aria-label=\"Download Mental Health And Alcohol And Drug Services Agency Evaluation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-251\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_E.pdf\">Grievance Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM050_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_E.pdf&#038;subject=Document download: Grievance Form\" aria-label=\"Send Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_E.pdf\" aria-label=\"Download Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-252\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_S.pdf\">Grievance Form (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM050_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance Form (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_S.pdf&#038;subject=Document download: Grievance Form (spanish)\" aria-label=\"Send Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM050_S.pdf\" aria-label=\"Download Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-253\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM051_E.pdf\">Action Appeal Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM051_Et\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Action Appeal Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM051_E.pdf&#038;subject=Document download: Action Appeal Form\" aria-label=\"Send Action Appeal Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM051_E.pdf\" aria-label=\"Download Action Appeal Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-254\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM056.pdf\">Quality Assurance Audit At Annual Point<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM056\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Quality Assurance Audit At Annual Point here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM056.pdf&#038;subject=Document download: Quality Assurance Audit At Annual Point\" aria-label=\"Send Quality Assurance Audit At Annual Point\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM056.pdf\" aria-label=\"Download Quality Assurance Audit At Annual Point\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-255\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM057.pdf\">Medication Monitoring Questionnaire<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM057\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medication Monitoring Questionnaire here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM057.pdf&#038;subject=Document download: Medication Monitoring Questionnaire\" aria-label=\"Send Medication Monitoring Questionnaire\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM057.pdf\" aria-label=\"Download Medication Monitoring Questionnaire\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-256\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Denial Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231115\">\n\t\t\t\t\t\t\t\t\t11\/15\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM058_V \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Denial Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Denial Notice (NOABD) (Vietnamese)\" aria-label=\"Send Denial Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Denial Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-257\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Denial Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231115\">\n\t\t\t\t\t\t\t\t\t11\/15\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM058_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Denial Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Denial Notice (NOABD) (Mandarin)\" aria-label=\"Send Denial Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Denial Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-258\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Denial Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM058_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Denial Notice (NOABD) here: &#038;subject=Document download: Denial Notice (NOABD)\" aria-label=\"Send Denial Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Denial Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-259\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Denial Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20231115\">\n\t\t\t\t\t\t\t\t\t11\/15\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM058_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Denial Notice (NOABD) (Spanish) here: &#038;subject=Document download: Denial Notice (NOABD) (Spanish)\" aria-label=\"Send Denial Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Denial Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-260\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (English) here: &#038;subject=Document download: Termination Notice (NOABD) (English)\" aria-label=\"Send Termination Notice (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-261\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Spanish) here: &#038;subject=Document download: Termination Notice (NOABD) (Spanish)\" aria-label=\"Send Termination Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-262\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250302\">\n\t\t\t\t\t\t\t\t\t03\/02\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Termination Notice (NOABD) (Spanish Large Print)\" aria-label=\"Send Termination Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-263\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Termination Notice (NOABD) (Mandarin)\" aria-label=\"Send Termination Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-264\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Termination Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send Termination Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-265\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Termination Notice (NOABD) (Vietnamese)\" aria-label=\"Send Termination Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-266\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM059_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Termination Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Termination Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-267\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) here: &#038;subject=Document download: Timely Access Notice (NOABD)\" aria-label=\"Send Timely Access Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-268\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tM061_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Mandarin)\" aria-label=\"Send Timely Access Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-269\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send Timely Access Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-270\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Spanish) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Spanish)\" aria-label=\"Send Timely Access Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-271\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Spanish Large Print)\" aria-label=\"Send Timely Access Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-272\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Vietnamese)\" aria-label=\"Send Timely Access Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-273\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Timely Access Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM061_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Timely Access Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Timely Access Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Timely Access Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Timely Access Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-274\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Medi-Cal Site Certification Checklist<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220719\">\n\t\t\t\t\t\t\t\t\t07\/19\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM074\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medi-Cal Site Certification Checklist here: &#038;subject=Document download: Medi-Cal Site Certification Checklist\" aria-label=\"Send Medi-Cal Site Certification Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Medi-Cal Site Certification Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-275\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM075.pdf\">Mental Health Plan (mhp) To Medi-cal Plan (mcp) Referral Form For Non Open Cases<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM075\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Mental Health Plan (mhp) To Medi-cal Plan (mcp) Referral Form For Non Open Cases here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM075.pdf&#038;subject=Document download: Mental Health Plan (mhp) To Medi-cal Plan (mcp) Referral Form For Non Open Cases\" aria-label=\"Send Mental Health Plan (mhp) To Medi-cal Plan (mcp) Referral Form For Non Open Cases\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/QM075.pdf\" aria-label=\"Download Mental Health Plan (mhp) To Medi-cal Plan (mcp) Referral Form For Non Open Cases\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-276\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Vietnamese Large Print) here: &#038;subject=Document download: Notice of Appeal Resolution (Vietnamese Large Print)\" aria-label=\"Send Notice of Appeal Resolution (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-277\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Vietnamese) here: &#038;subject=Document download: Notice of Appeal Resolution (Vietnamese)\" aria-label=\"Send Notice of Appeal Resolution (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-278\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Spanish Large Print) here: &#038;subject=Document download: Notice of Appeal Resolution (Spanish Large Print)\" aria-label=\"Send Notice of Appeal Resolution (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-279\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Spanish) here: &#038;subject=Document download: Notice of Appeal Resolution (Spanish)\" aria-label=\"Send Notice of Appeal Resolution (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-280\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Mandarin Large Print) here: &#038;subject=Document download: Notice of Appeal Resolution (Mandarin Large Print)\" aria-label=\"Send Notice of Appeal Resolution (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-281\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Mandarin) here: &#038;subject=Document download: Notice of Appeal Resolution (Mandarin)\" aria-label=\"Send Notice of Appeal Resolution (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-282\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution (Large Print) here: &#038;subject=Document download: Notice of Appeal Resolution (Large Print)\" aria-label=\"Send Notice of Appeal Resolution (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-283\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Appeal Resolution<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM032_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Appeal Resolution here: &#038;subject=Document download: Notice of Appeal Resolution\" aria-label=\"Send Notice of Appeal Resolution\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Appeal Resolution\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-284\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Financial Liability Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM078_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Financial Liability Notice (NOABD) here: &#038;subject=Document download: Financial Liability Notice (NOABD)\" aria-label=\"Send Financial Liability Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Financial Liability Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-285\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Financial Liability Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220728\">\n\t\t\t\t\t\t\t\t\t07\/28\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM078_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Financial Liability Notice (NOABD) (Spanish) here: &#038;subject=Document download: Financial Liability Notice (NOABD) (Spanish)\" aria-label=\"Send Financial Liability Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Financial Liability Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-286\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Financial Liability Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220727\">\n\t\t\t\t\t\t\t\t\t07\/27\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM078_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Financial Liability Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Financial Liability Notice (NOABD) (Mandarin)\" aria-label=\"Send Financial Liability Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Financial Liability Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-287\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Financial Liability Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220727\">\n\t\t\t\t\t\t\t\t\t07\/27\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM078_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Financial Liability Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Financial Liability Notice (NOABD) (Vietnamese)\" aria-label=\"Send Financial Liability Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Financial Liability Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-288\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"doc\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/doc-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK003.doc\">Scheduling Template<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK003\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Scheduling Template here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK003.doc&#038;subject=Document download: Scheduling Template\" aria-label=\"Send Scheduling Template\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK003.doc\" aria-label=\"Download Scheduling Template\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-289\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"doc\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/doc-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK004.doc\">Schedule Change Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK004\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Schedule Change Request here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK004.doc&#038;subject=Document download: Schedule Change Request\" aria-label=\"Send Schedule Change Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK004.doc\" aria-label=\"Download Schedule Change Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-290\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK006.pdf\">Physician Request Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK006\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Physician Request Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK006.pdf&#038;subject=Document download: Physician Request Form\" aria-label=\"Send Physician Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK006.pdf\" aria-label=\"Download Physician Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-291\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028.pdf\">Myavatar Program Assignment (mental Health)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK028\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Myavatar Program Assignment (mental Health) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028.pdf&#038;subject=Document download: Myavatar Program Assignment (mental Health)\" aria-label=\"Send Myavatar Program Assignment (mental Health)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028.pdf\" aria-label=\"Download Myavatar Program Assignment (mental Health)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-292\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028_S.pdf\">Myavatar Program Assignment (mental Health)(spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK028_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Myavatar Program Assignment (mental Health)(spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028_S.pdf&#038;subject=Document download: Myavatar Program Assignment (mental Health)(spanish)\" aria-label=\"Send Myavatar Program Assignment (mental Health)(spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK028_S.pdf\" aria-label=\"Download Myavatar Program Assignment (mental Health)(spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-293\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030.pdf\">Myavatar Initial Contact Form (mental Health<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK030\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Myavatar Initial Contact Form (mental Health here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030.pdf&#038;subject=Document download: Myavatar Initial Contact Form (mental Health\" aria-label=\"Send Myavatar Initial Contact Form (mental Health\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030.pdf\" aria-label=\"Download Myavatar Initial Contact Form (mental Health\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-294\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030_S.pdf\">Myavatar Initial Contact Form (mental Health) (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLK030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Myavatar Initial Contact Form (mental Health) (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030_S.pdf&#038;subject=Document download: Myavatar Initial Contact Form (mental Health) (spanish)\" aria-label=\"Send Myavatar Initial Contact Form (mental Health) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/CLK030_S.pdf\" aria-label=\"Download Myavatar Initial Contact Form (mental Health) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-295\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_M-Authorization-to-Release-PHI_Final.pdf\">Authorization to Release Protected Health Information (PHI) Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250602\">\n\t\t\t\t\t\t\t\t\t06\/02\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM001_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization to Release Protected Health Information (PHI) Mandarin here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_M-Authorization-to-Release-PHI_Final.pdf&#038;subject=Document download: Authorization to Release Protected Health Information (PHI) Mandarin\" aria-label=\"Send Authorization to Release Protected Health Information (PHI) Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_M-Authorization-to-Release-PHI_Final.pdf\" aria-label=\"Download Authorization to Release Protected Health Information (PHI) Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-296\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_S-Authorization-to-Release-PHI_Final_SPA.pdf\">Authorization to Release Protected Health Information (PHI) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250602\">\n\t\t\t\t\t\t\t\t\t06\/02\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM001_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization to Release Protected Health Information (PHI) (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_S-Authorization-to-Release-PHI_Final_SPA.pdf&#038;subject=Document download: Authorization to Release Protected Health Information (PHI) (Spanish)\" aria-label=\"Send Authorization to Release Protected Health Information (PHI) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_S-Authorization-to-Release-PHI_Final_SPA.pdf\" aria-label=\"Download Authorization to Release Protected Health Information (PHI) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-297\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_V-Authorization-to-Release-PHI_Final_VE.pdf\">Authorization to Release Protected Health Information (PHI) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250602\">\n\t\t\t\t\t\t\t\t\t06\/02\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM001_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization to Release Protected Health Information (PHI) (Vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_V-Authorization-to-Release-PHI_Final_VE.pdf&#038;subject=Document download: Authorization to Release Protected Health Information (PHI) (Vietnamese)\" aria-label=\"Send Authorization to Release Protected Health Information (PHI) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/06\/COM001_V-Authorization-to-Release-PHI_Final_VE.pdf\" aria-label=\"Download Authorization to Release Protected Health Information (PHI) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-298\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Code of Conduct<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260521\">\n\t\t\t\t\t\t\t\t\t05\/21\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM003\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Code of Conduct here: &#038;subject=Document download: Code of Conduct\" aria-label=\"Send Code of Conduct\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Code of Conduct\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-299\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260217\">\n\t\t\t\t\t\t\t\t\t02\/17\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM004_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices here: &#038;subject=Document download: Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices\" aria-label=\"Send Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Privacy Practices and Acknowledgement of Receipt of Notice of Privacy Practices\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-300\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM006.pdf\">Certification Review Hearing \u2013 Waiver Of Presence<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM006\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Certification Review Hearing \u2013 Waiver Of Presence here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM006.pdf&#038;subject=Document download: Certification Review Hearing \u2013 Waiver Of Presence\" aria-label=\"Send Certification Review Hearing \u2013 Waiver Of Presence\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM006.pdf\" aria-label=\"Download Certification Review Hearing \u2013 Waiver Of Presence\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-301\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM007.pdf\">Sensitive Chart<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM007\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Sensitive Chart here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM007.pdf&#038;subject=Document download: Sensitive Chart\" aria-label=\"Send Sensitive Chart\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM007.pdf\" aria-label=\"Download Sensitive Chart\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-302\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM010.pdf\">Outpatient Treatment Reauthorization Request For Adults<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM010\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Outpatient Treatment Reauthorization Request For Adults here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM010.pdf&#038;subject=Document download: Outpatient Treatment Reauthorization Request For Adults\" aria-label=\"Send Outpatient Treatment Reauthorization Request For Adults\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM010.pdf\" aria-label=\"Download Outpatient Treatment Reauthorization Request For Adults\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-303\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM012.pdf\">List Of Disclosures Of Protected Health Information (phi)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM012\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download List Of Disclosures Of Protected Health Information (phi) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM012.pdf&#038;subject=Document download: List Of Disclosures Of Protected Health Information (phi)\" aria-label=\"Send List Of Disclosures Of Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM012.pdf\" aria-label=\"Download List Of Disclosures Of Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-304\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_E.pdf\">Consent For Outpatient Treatment<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM013_Et\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent For Outpatient Treatment here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_E.pdf&#038;subject=Document download: Consent For Outpatient Treatment\" aria-label=\"Send Consent For Outpatient Treatment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_E.pdf\" aria-label=\"Download Consent For Outpatient Treatment\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-305\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_S.pdf\">Consent For Outpatient Treatment (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM013_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent For Outpatient Treatment (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_S.pdf&#038;subject=Document download: Consent For Outpatient Treatment (spanish)\" aria-label=\"Send Consent For Outpatient Treatment (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_S.pdf\" aria-label=\"Download Consent For Outpatient Treatment (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-306\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_V.pdf\">Consent For Outpatient Treatment (vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM013_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent For Outpatient Treatment (vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_V.pdf&#038;subject=Document download: Consent For Outpatient Treatment (vietnamese)\" aria-label=\"Send Consent For Outpatient Treatment (vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM013_V.pdf\" aria-label=\"Download Consent For Outpatient Treatment (vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-307\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_E.pdf\">Medical Care Authorization For Minor<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM014_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medical Care Authorization For Minor here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_E.pdf&#038;subject=Document download: Medical Care Authorization For Minor\" aria-label=\"Send Medical Care Authorization For Minor\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_E.pdf\" aria-label=\"Download Medical Care Authorization For Minor\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-308\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_S.pdf\">Medical Care Authorization For Minor (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM014_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medical Care Authorization For Minor (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_S.pdf&#038;subject=Document download: Medical Care Authorization For Minor (spanish)\" aria-label=\"Send Medical Care Authorization For Minor (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM014_S.pdf\" aria-label=\"Download Medical Care Authorization For Minor (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-309\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_E.pdf\">Consent For Sound And\/or Photographic Recordings<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM015_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent For Sound And\/or Photographic Recordings here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_E.pdf&#038;subject=Document download: Consent For Sound And\/or Photographic Recordings\" aria-label=\"Send Consent For Sound And\/or Photographic Recordings\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_E.pdf\" aria-label=\"Download Consent For Sound And\/or Photographic Recordings\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-310\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_S.pdf\">Consent For Sound And\/or Photographic Recordings (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM015_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent For Sound And\/or Photographic Recordings (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_S.pdf&#038;subject=Document download: Consent For Sound And\/or Photographic Recordings (spanish)\" aria-label=\"Send Consent For Sound And\/or Photographic Recordings (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM015_S.pdf\" aria-label=\"Download Consent For Sound And\/or Photographic Recordings (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-311\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Access to Medical Records Request<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260324\">\n\t\t\t\t\t\t\t\t\t03\/24\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM021\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Access to Medical Records Request here: &#038;subject=Document download: Access to Medical Records Request\" aria-label=\"Send Access to Medical Records Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Access to Medical Records Request\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-312\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_E.pdf\">Consent To Record And\/or Photograph And Authorization For Use Or Disclosure<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM016_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent To Record And\/or Photograph And Authorization For Use Or Disclosure here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_E.pdf&#038;subject=Document download: Consent To Record And\/or Photograph And Authorization For Use Or Disclosure\" aria-label=\"Send Consent To Record And\/or Photograph And Authorization For Use Or Disclosure\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_E.pdf\" aria-label=\"Download Consent To Record And\/or Photograph And Authorization For Use Or Disclosure\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-313\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_S.pdf\">Consent To Record And\/or Photograph And Authorization For Use Or Disclosure (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM016_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent To Record And\/or Photograph And Authorization For Use Or Disclosure (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_S.pdf&#038;subject=Document download: Consent To Record And\/or Photograph And Authorization For Use Or Disclosure (spanish)\" aria-label=\"Send Consent To Record And\/or Photograph And Authorization For Use Or Disclosure (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM016_S.pdf\" aria-label=\"Download Consent To Record And\/or Photograph And Authorization For Use Or Disclosure (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-314\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_E.pdf\">Advance Health Care Directive<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM018_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Advance Health Care Directive here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_E.pdf&#038;subject=Document download: Advance Health Care Directive\" aria-label=\"Send Advance Health Care Directive\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_E.pdf\" aria-label=\"Download Advance Health Care Directive\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-315\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_S.pdf\">Advance Health Care Directive (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM018_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Advance Health Care Directive (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_S.pdf&#038;subject=Document download: Advance Health Care Directive (spanish)\" aria-label=\"Send Advance Health Care Directive (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM018_S.pdf\" aria-label=\"Download Advance Health Care Directive (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-316\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM019.pdf\">Delegation Of Tx Consent<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM019\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Delegation Of Tx Consent here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM019.pdf&#038;subject=Document download: Delegation Of Tx Consent\" aria-label=\"Send Delegation Of Tx Consent\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM019.pdf\" aria-label=\"Download Delegation Of Tx Consent\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-317\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Conflict of Interest Disclosure Statement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250129\">\n\t\t\t\t\t\t\t\t\t01\/29\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM020\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Conflict of Interest Disclosure Statement here: &#038;subject=Document download: Conflict of Interest Disclosure Statement\" aria-label=\"Send Conflict of Interest Disclosure Statement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Conflict of Interest Disclosure Statement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-318\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Access to Medical Records Request (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260324\">\n\t\t\t\t\t\t\t\t\t03\/24\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM021_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Access to Medical Records Request (Spanish) here: &#038;subject=Document download: Access to Medical Records Request (Spanish)\" aria-label=\"Send Access to Medical Records Request (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Access to Medical Records Request (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-319\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_E.pdf\">Request To Amend Protected Health Information (phi)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM023_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request To Amend Protected Health Information (phi) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_E.pdf&#038;subject=Document download: Request To Amend Protected Health Information (phi)\" aria-label=\"Send Request To Amend Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_E.pdf\" aria-label=\"Download Request To Amend Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-320\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_S.pdf\">Request Request To Amend Protected Health Information (phi) (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM023_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request Request To Amend Protected Health Information (phi) (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_S.pdf&#038;subject=Document download: Request Request To Amend Protected Health Information (phi) (spanish)\" aria-label=\"Send Request Request To Amend Protected Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM023_S.pdf\" aria-label=\"Download Request Request To Amend Protected Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-321\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_E.pdf\">Response To Request To Amend Protected Health Information (phi)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM024_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Response To Request To Amend Protected Health Information (phi) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_E.pdf&#038;subject=Document download: Response To Request To Amend Protected Health Information (phi)\" aria-label=\"Send Response To Request To Amend Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_E.pdf\" aria-label=\"Download Response To Request To Amend Protected Health Information (phi)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-322\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_S.pdf\">Response To Request To Amend Protected Health Information (phi) (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM024_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Response To Request To Amend Protected Health Information (phi) (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_S.pdf&#038;subject=Document download: Response To Request To Amend Protected Health Information (phi) (spanish)\" aria-label=\"Send Response To Request To Amend Protected Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM024_S.pdf\" aria-label=\"Download Response To Request To Amend Protected Health Information (phi) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-323\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_E.pdf\">Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM026_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_E.pdf&#038;subject=Document download: Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record\" aria-label=\"Send Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_E.pdf\" aria-label=\"Download Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-324\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_S.pdf\">Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM026_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_S.pdf&#038;subject=Document download: Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record (spanish)\" aria-label=\"Send Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM026_S.pdf\" aria-label=\"Download Release Of Information: Patient\u2019s Right Of Access To His\/her Own Medical Record (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-325\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Oath of Confidentiality<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220114\">\n\t\t\t\t\t\t\t\t\t01\/14\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM027\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Oath of Confidentiality here: &#038;subject=Document download: Oath of Confidentiality\" aria-label=\"Send Oath of Confidentiality\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Oath of Confidentiality\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-326\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_E.pdf\">Advance Health Care Directive (brochure)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM028_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Advance Health Care Directive (brochure) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_E.pdf&#038;subject=Document download: Advance Health Care Directive (brochure)\" aria-label=\"Send Advance Health Care Directive (brochure)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_E.pdf\" aria-label=\"Download Advance Health Care Directive (brochure)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-327\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_S.pdf\">Advance Health Care Directive (brochure) (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM028_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Advance Health Care Directive (brochure) (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_S.pdf&#038;subject=Document download: Advance Health Care Directive (brochure) (spanish)\" aria-label=\"Send Advance Health Care Directive (brochure) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_S.pdf\" aria-label=\"Download Advance Health Care Directive (brochure) (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-328\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_V.pdf\">Advance Health Care Directive (brochure) (vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM028_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Advance Health Care Directive (brochure) (vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_V.pdf&#038;subject=Document download: Advance Health Care Directive (brochure) (vietnamese)\" aria-label=\"Send Advance Health Care Directive (brochure) (vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM028_V.pdf\" aria-label=\"Download Advance Health Care Directive (brochure) (vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-329\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM033.pdf\">Privacy And Security Agreement Confidentiality Statement<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM033\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Privacy And Security Agreement Confidentiality Statement here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM033.pdf&#038;subject=Document download: Privacy And Security Agreement Confidentiality Statement\" aria-label=\"Send Privacy And Security Agreement Confidentiality Statement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM033.pdf\" aria-label=\"Download Privacy And Security Agreement Confidentiality Statement\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-330\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM034.pdf\">Tracking Of Phi Records Delivered Log<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM034\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Tracking Of Phi Records Delivered Log here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM034.pdf&#038;subject=Document download: Tracking Of Phi Records Delivered Log\" aria-label=\"Send Tracking Of Phi Records Delivered Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM034.pdf\" aria-label=\"Download Tracking Of Phi Records Delivered Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-331\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM035.pdf\">General Chart Room Log<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM035\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download General Chart Room Log here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM035.pdf&#038;subject=Document download: General Chart Room Log\" aria-label=\"Send General Chart Room Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM035.pdf\" aria-label=\"Download General Chart Room Log\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-332\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM036.pdf\">Ineligible Persons Policy Acknowledgement And Attestation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM036\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Ineligible Persons Policy Acknowledgement And Attestation here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM036.pdf&#038;subject=Document download: Ineligible Persons Policy Acknowledgement And Attestation\" aria-label=\"Send Ineligible Persons Policy Acknowledgement And Attestation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM036.pdf\" aria-label=\"Download Ineligible Persons Policy Acknowledgement And Attestation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-333\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM037.pdf\">Attestation Regarding Completion Of Sanction Checks<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM037\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Attestation Regarding Completion Of Sanction Checks here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM037.pdf&#038;subject=Document download: Attestation Regarding Completion Of Sanction Checks\" aria-label=\"Send Attestation Regarding Completion Of Sanction Checks\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" 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class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Aca 1557 Grievance Form &#8211; Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241114\">\n\t\t\t\t\t\t\t\t\t11\/14\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM038_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Aca 1557 Grievance Form - Spanish here: &#038;subject=Document download: Aca 1557 Grievance Form - Spanish\" aria-label=\"Send Aca 1557 Grievance Form - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Aca 1557 Grievance Form - Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-335\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">ACA 1557 Grievance Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241114\">\n\t\t\t\t\t\t\t\t\t11\/14\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM038\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download ACA 1557 Grievance Form here: &#038;subject=Document download: ACA 1557 Grievance Form\" aria-label=\"Send ACA 1557 Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download ACA 1557 Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-336\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM038_S.pdf\">Aca 1557 Grievance Form (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM038_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Aca 1557 Grievance Form (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM038_S.pdf&#038;subject=Document download: Aca 1557 Grievance Form (spanish)\" aria-label=\"Send Aca 1557 Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/COM038_S.pdf\" aria-label=\"Download Aca 1557 Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-337\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Electronic Signature Agreement and E-Signature and Provider Signature List                       <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260617\">\n\t\t\t\t\t\t\t\t\t06\/17\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM039\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Electronic Signature Agreement and E-Signature and Provider Signature List                        here: &#038;subject=Document download: Electronic Signature Agreement and E-Signature and Provider Signature List                       \" aria-label=\"Send Electronic Signature Agreement and E-Signature and Provider Signature List                       \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Electronic Signature Agreement and E-Signature and Provider Signature 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data-sort=\"20250129\">\n\t\t\t\t\t\t\t\t\t01\/29\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR005\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download AB2275 Flow Chart here: &#038;subject=Document download: AB2275 Flow Chart\" aria-label=\"Send AB2275 Flow Chart\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download AB2275 Flow Chart\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-339\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Patients&#039; Entitlement to a Certification Review Hearing<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250129\">\n\t\t\t\t\t\t\t\t\t01\/29\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR003\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Patients&#039; Entitlement to a Certification Review Hearing here: &#038;subject=Document download: Notice of Patients&#039; Entitlement to a Certification Review Hearing\" aria-label=\"Send Notice of Patients&#039; Entitlement to a Certification Review Hearing\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Patients&#039; Entitlement to a Certification Review Hearing\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-340\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\"><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  here: &#038;subject=Document download: \" aria-label=\"Send \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-341\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\"><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  here: &#038;subject=Document download: \" aria-label=\"Send \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-342\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">myAvatar Policy &amp; Procedure Acknowledgment Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250326\">\n\t\t\t\t\t\t\t\t\t03\/26\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM041\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download myAvatar Policy &amp; Procedure Acknowledgment Form here: &#038;subject=Document download: myAvatar Policy &amp; Procedure Acknowledgment Form\" aria-label=\"Send myAvatar Policy &amp; Procedure Acknowledgment Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download myAvatar Policy &amp; Procedure Acknowledgment Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-343\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_E.pdf\">Patients\u2019 Rights Grievance Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR001_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Patients\u2019 Rights Grievance Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_E.pdf&#038;subject=Document download: Patients\u2019 Rights Grievance Form\" aria-label=\"Send Patients\u2019 Rights Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_E.pdf\" aria-label=\"Download Patients\u2019 Rights Grievance Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-344\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_S.pdf\">Patients\u2019 Rights Grievance Form (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR001_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Patients\u2019 Rights Grievance Form (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_S.pdf&#038;subject=Document download: Patients\u2019 Rights Grievance Form (spanish)\" aria-label=\"Send Patients\u2019 Rights Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR001_S.pdf\" aria-label=\"Download Patients\u2019 Rights Grievance Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-345\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_E.pdf\">Patients\u2019 Rights Office Grievance Appeal Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR002_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Patients\u2019 Rights Office Grievance Appeal Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_E.pdf&#038;subject=Document download: Patients\u2019 Rights Office Grievance Appeal Form\" aria-label=\"Send Patients\u2019 Rights Office Grievance Appeal Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_E.pdf\" aria-label=\"Download Patients\u2019 Rights Office Grievance Appeal Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-346\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_S.pdf\">Patients\u2019 Rights Office Grievance Appeal Form (spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t05\/11\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR002_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Patients\u2019 Rights Office Grievance Appeal Form (spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_S.pdf&#038;subject=Document download: Patients\u2019 Rights Office Grievance Appeal Form (spanish)\" aria-label=\"Send Patients\u2019 Rights Office Grievance Appeal Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2021\/05\/PR002_S.pdf\" aria-label=\"Download Patients\u2019 Rights Office Grievance Appeal Form (spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-347\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Service Authorization Request 03\/01\/2009<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210812\">\n\t\t\t\t\t\t\t\t\t08\/12\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMH5125\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Service Authorization Request 03\/01\/2009 here: &#038;subject=Document download: Service Authorization Request 03\/01\/2009\" aria-label=\"Send Service Authorization Request 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Service Authorization Request 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-348\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Assessment 03\/01\/2009<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210812\">\n\t\t\t\t\t\t\t\t\t08\/12\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMH5120\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Assessment 03\/01\/2009 here: &#038;subject=Document download: Client Assessment 03\/01\/2009\" aria-label=\"Send Client Assessment 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Assessment 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-349\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Assessment Update 03\/01\/2009<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210812\">\n\t\t\t\t\t\t\t\t\t08\/12\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMH5121 \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Assessment Update 03\/01\/2009 here: &#038;subject=Document download: Client Assessment Update 03\/01\/2009\" aria-label=\"Send Client Assessment Update 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Assessment Update 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-350\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Plan 03\/01\/2009<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210812\">\n\t\t\t\t\t\t\t\t\t08\/12\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMH5122\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Plan 03\/01\/2009 here: &#038;subject=Document download: Client Plan 03\/01\/2009\" aria-label=\"Send Client Plan 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Plan 03\/01\/2009\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-351\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Action Appeal Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210901\">\n\t\t\t\t\t\t\t\t\t09\/01\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM051_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Action Appeal Form (Spanish) here: &#038;subject=Document download: Action Appeal Form (Spanish)\" aria-label=\"Send Action Appeal Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Action Appeal Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-352\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Request for Restriction of Confidential Communication<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220922\">\n\t\t\t\t\t\t\t\t\t09\/22\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM030_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request for Restriction of Confidential Communication here: &#038;subject=Document download: Request for Restriction of Confidential Communication\" aria-label=\"Send Request for Restriction of Confidential Communication\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Request for Restriction of Confidential Communication\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-353\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Request for Restriction of Confidential Communication (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220926\">\n\t\t\t\t\t\t\t\t\t09\/26\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM030_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Request for Restriction of Confidential Communication (Spanish) here: &#038;subject=Document download: Request for Restriction of Confidential Communication (Spanish)\" aria-label=\"Send Request for Restriction of Confidential Communication (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Request for Restriction of Confidential Communication (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-354\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Response to Request for Restriction of Confidential Information<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210916\">\n\t\t\t\t\t\t\t\t\t09\/16\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM031_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Response to Request for Restriction of Confidential Information here: &#038;subject=Document download: Response to Request for Restriction of Confidential Information\" aria-label=\"Send Response to Request for Restriction of Confidential Information\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Response to Request for Restriction of Confidential Information\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-355\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Response to Request for Restriction of Confidential Information (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20210916\">\n\t\t\t\t\t\t\t\t\t09\/16\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM031_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Response to Request for Restriction of Confidential Information (Spanish) here: &#038;subject=Document download: Response to Request for Restriction of Confidential Information (Spanish)\" aria-label=\"Send Response to Request for Restriction of Confidential Information (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Response to Request for Restriction of Confidential Information (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-356\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Medical\/Behavioral Health Clearance <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240501\">\n\t\t\t\t\t\t\t\t\t05\/01\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS024\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Medical\/Behavioral Health Clearance  here: &#038;subject=Document download: Medical\/Behavioral Health Clearance \" aria-label=\"Send Medical\/Behavioral Health Clearance \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Medical\/Behavioral Health Clearance \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-357\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) here: &#038;subject=Document download: Payment Denial Notice (NOABD)\" aria-label=\"Send Payment Denial Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-358\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) (Spanish) here: &#038;subject=Document download: Payment Denial Notice (NOABD) (Spanish)\" aria-label=\"Send Payment Denial Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-359\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD)) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD)) (Spanish Large Print) here: &#038;subject=Document download: Payment Denial Notice (NOABD)) (Spanish Large Print)\" aria-label=\"Send Payment Denial Notice (NOABD)) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD)) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-360\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Payment Denial Notice (NOABD) (Mandarin)\" aria-label=\"Send Payment Denial Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-361\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\"> Payment Denial Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  Payment Denial Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download:  Payment Denial Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send  Payment Denial Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download  Payment Denial Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-362\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Payment Denial Notice (NOABD) (Vietnamese)\" aria-label=\"Send Payment Denial Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-363\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Payment Denial Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Payment Denial Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-364\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Your Rights Attachment (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM024\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Your Rights Attachment (NOABD) (Large Print) here: &#038;subject=Document download: Your Rights Attachment (NOABD) (Large Print)\" aria-label=\"Send Your Rights Attachment (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Your Rights Attachment (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-365\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">NAR Your Rights (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM025\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download NAR Your Rights (Large Print) here: &#038;subject=Document download: NAR Your Rights (Large Print)\" aria-label=\"Send NAR Your Rights (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download NAR Your Rights (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-366\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Payment Denial Notice (NOABD) (Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM060\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Payment Denial Notice (NOABD) (Large Print) here: &#038;subject=Document download: Payment Denial Notice (NOABD) (Large Print)\" aria-label=\"Send Payment Denial Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Payment Denial Notice (NOABD) (Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-367\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Mandarin) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Mandarin)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-368\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Mandarin Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Mandarin Large Print) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Mandarin Large Print)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Mandarin Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-369\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Spanish) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Spanish)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-370\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Spanish Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_S \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Spanish Large Print) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Spanish Large Print)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Spanish Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-371\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Vietnamese) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Vietnamese)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-372\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD) (Vietnamese Large Print)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) (Vietnamese Large Print) here: &#038;subject=Document download: Authorization Delay Notice (NOABD) (Vietnamese Large Print)\" aria-label=\"Send Authorization Delay Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD) (Vietnamese Large Print)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-373\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization Delay Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM033_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization Delay Notice (NOABD) here: &#038;subject=Document download: Authorization Delay Notice (NOABD)\" aria-label=\"Send Authorization Delay Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization Delay Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-374\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Grievance and Appeal Timely Resolution Notice (NOABD)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM062_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance and Appeal Timely Resolution Notice (NOABD) here: &#038;subject=Document download: Grievance and Appeal Timely Resolution Notice (NOABD)\" aria-label=\"Send Grievance and Appeal Timely Resolution Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Grievance and Appeal Timely Resolution Notice (NOABD)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-375\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Grievance and Appeal Timely Resolution Notice (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20211122\">\n\t\t\t\t\t\t\t\t\t11\/22\/2021\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM062_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance and Appeal Timely Resolution Notice (Spanish) here: &#038;subject=Document download: Grievance and Appeal Timely Resolution Notice (Spanish)\" aria-label=\"Send Grievance and Appeal Timely Resolution Notice (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Grievance and Appeal Timely Resolution Notice (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-376\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Unusual Occurrence\/Incident Report<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220407\">\n\t\t\t\t\t\t\t\t\t04\/07\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM053\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Unusual Occurrence\/Incident Report here: &#038;subject=Document download: Unusual Occurrence\/Incident Report\" aria-label=\"Send Unusual Occurrence\/Incident Report\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Unusual Occurrence\/Incident Report\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-377\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Charge Data Invoice (Fillable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP009 (Fillable)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Charge Data Invoice (Fillable) here: &#038;subject=Document download: Charge Data Invoice (Fillable)\" aria-label=\"Send Charge Data Invoice (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Charge Data Invoice (Fillable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-378\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Charge Data Invoice (Printable)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP009 (Printable)\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Charge Data Invoice (Printable) here: &#038;subject=Document download: Charge Data Invoice (Printable)\" aria-label=\"Send Charge Data Invoice (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Charge Data Invoice (Printable)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-379\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination of Provider Notice Template &#8211; Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP045\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination of Provider Notice Template - Mandarin here: &#038;subject=Document download: Termination of Provider Notice Template - Mandarin\" aria-label=\"Send Termination of Provider Notice Template - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination of Provider Notice Template - Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-380\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination of Provider Notice Template &#8211; Vietnamese<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240522\">\n\t\t\t\t\t\t\t\t\t05\/22\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP045\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination of Provider Notice Template - Vietnamese here: &#038;subject=Document download: Termination of Provider Notice Template - Vietnamese\" aria-label=\"Send Termination of Provider Notice Template - Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination of Provider Notice Template - Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-381\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination of Provider Notice Template<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220511\">\n\t\t\t\t\t\t\t\t\t05\/11\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP045\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination of Provider Notice Template here: &#038;subject=Document download: Termination of Provider Notice Template\" aria-label=\"Send Termination of Provider Notice Template\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination of Provider Notice Template\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-382\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Adult (21+) ASAM Triage Level of Care Screening<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220505\">\n\t\t\t\t\t\t\t\t\t05\/05\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS043\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Adult (21+) ASAM Triage Level of Care Screening here: &#038;subject=Document download: Adult (21+) ASAM Triage Level of Care Screening\" aria-label=\"Send Adult (21+) ASAM Triage Level of Care Screening\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Adult (21+) ASAM Triage Level of Care Screening\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-383\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Consent for SUD Care Coordination Services (English)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS035_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Consent for SUD Care Coordination Services (English) here: &#038;subject=Document download: Consent for SUD Care Coordination Services (English)\" aria-label=\"Send Consent for SUD Care Coordination Services (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Consent for SUD Care Coordination Services (English)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-384\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Termination of Provider Notice Template_Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220525\">\n\t\t\t\t\t\t\t\t\t05\/25\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP045_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Termination of Provider Notice Template_Spanish here: &#038;subject=Document download: Termination of Provider Notice Template_Spanish\" aria-label=\"Send Termination of Provider Notice Template_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Termination of Provider Notice Template_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-385\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice of Grievance Resolution<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250301\">\n\t\t\t\t\t\t\t\t\t03\/01\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM028_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice of Grievance Resolution here: &#038;subject=Document download: Notice of Grievance Resolution\" aria-label=\"Send Notice of Grievance Resolution\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice of Grievance Resolution\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-386\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Receipt of Grievance Acknowledgement Letter<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220623\">\n\t\t\t\t\t\t\t\t\t06\/23\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM036_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Receipt of Grievance Acknowledgement Letter here: &#038;subject=Document download: Receipt of Grievance Acknowledgement Letter\" aria-label=\"Send Receipt of Grievance Acknowledgement Letter\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Receipt of Grievance Acknowledgement Letter\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-387\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Receipt of Grievance Acknowledgement Letter (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220623\">\n\t\t\t\t\t\t\t\t\t06\/23\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM036_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Receipt of Grievance Acknowledgement Letter (Spanish) here: &#038;subject=Document download: Receipt of Grievance Acknowledgement Letter (Spanish)\" aria-label=\"Send Receipt of Grievance Acknowledgement Letter (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Receipt of Grievance Acknowledgement Letter (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-388\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Grievance Investigation Response Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220623\">\n\t\t\t\t\t\t\t\t\t06\/23\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM076_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance Investigation Response Form here: &#038;subject=Document download: Grievance Investigation Response Form\" aria-label=\"Send Grievance Investigation Response Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Grievance Investigation Response Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-389\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Grievance Investigation Supplemental Response Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220623\">\n\t\t\t\t\t\t\t\t\t06\/23\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM077_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Grievance Investigation Supplemental Response Form here: &#038;subject=Document download: Grievance Investigation Supplemental Response Form\" aria-label=\"Send Grievance Investigation Supplemental Response Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Grievance Investigation Supplemental Response Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-390\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Fagerstrom Test for Nicotine Dependence <\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20220622\">\n\t\t\t\t\t\t\t\t\t06\/22\/2022\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS053\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Fagerstrom Test for Nicotine Dependence  here: &#038;subject=Document download: Fagerstrom Test for Nicotine Dependence \" aria-label=\"Send Fagerstrom Test for Nicotine Dependence \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download 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table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Non-Medication Resource Log and Instructions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20230719\">\n\t\t\t\t\t\t\t\t\t07\/19\/2023\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS032\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Non-Medication Resource Log and Instructions here: &#038;subject=Document download: Non-Medication Resource Log and Instructions\" aria-label=\"Send Non-Medication Resource Log and Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Non-Medication Resource Log and Instructions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-393\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Contingency Management: Recovery Incentives Program Consent Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240806\">\n\t\t\t\t\t\t\t\t\t08\/06\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS054\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contingency Management: Recovery Incentives Program Consent Form here: &#038;subject=Document download: Contingency Management: Recovery Incentives Program Consent Form\" aria-label=\"Send Contingency Management: Recovery Incentives Program Consent Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Contingency Management: Recovery Incentives Program Consent Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-394\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Contingency Management: Recovery Incentives Program Consent Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS054\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contingency Management: Recovery Incentives Program Consent Form (Spanish) here: &#038;subject=Document download: Contingency Management: Recovery Incentives Program Consent Form (Spanish)\" aria-label=\"Send Contingency Management: Recovery Incentives Program Consent Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Contingency Management: Recovery Incentives Program Consent Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-395\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS058 Discharge Summary<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS058\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS058 Discharge Summary here: &#038;subject=Document download: SUDRS058 Discharge Summary\" aria-label=\"Send SUDRS058 Discharge Summary\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS058 Discharge Summary\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-396\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS Discharge Plan_E<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS057\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS Discharge Plan_E here: &#038;subject=Document download: SUDRS Discharge Plan_E\" aria-label=\"Send SUDRS Discharge Plan_E\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS Discharge Plan_E\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-397\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS057_V SUDRS Discharge Plan (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS057_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS057_V SUDRS Discharge Plan (Vietnamese) here: &#038;subject=Document download: SUDRS057_V SUDRS Discharge Plan (Vietnamese)\" aria-label=\"Send SUDRS057_V SUDRS Discharge Plan (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS057_V SUDRS Discharge Plan (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-398\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS057_S SUDRS Discharge Plan (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS057_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS057_S SUDRS Discharge Plan (Spanish) here: &#038;subject=Document download: SUDRS057_S SUDRS Discharge Plan (Spanish)\" aria-label=\"Send SUDRS057_S SUDRS Discharge Plan (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS057_S SUDRS Discharge Plan (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-399\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">SUDRS057_M SUDRS Discharge Plan (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS057_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download SUDRS057_M SUDRS Discharge Plan (Mandarin) here: &#038;subject=Document download: SUDRS057_M SUDRS Discharge Plan (Mandarin)\" aria-label=\"Send SUDRS057_M SUDRS Discharge Plan (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download SUDRS057_M SUDRS Discharge Plan (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-400\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Contingency Management: Recovery Incentives Program Consent Form (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS054\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contingency Management: Recovery Incentives Program Consent Form (Vietnamese) here: &#038;subject=Document download: Contingency Management: Recovery Incentives Program Consent Form (Vietnamese)\" aria-label=\"Send Contingency Management: Recovery Incentives Program Consent Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Contingency Management: Recovery Incentives Program Consent Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-401\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Contingency Management: Recovery Incentives Program Consent Form (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240105\">\n\t\t\t\t\t\t\t\t\t01\/05\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS054\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contingency Management: Recovery Incentives Program Consent Form (Mandarin) here: &#038;subject=Document download: Contingency Management: Recovery Incentives Program Consent Form (Mandarin)\" aria-label=\"Send Contingency Management: Recovery Incentives Program Consent Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Contingency Management: Recovery Incentives Program Consent Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-402\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Electroconvulsive Therapy (ECT) Referral Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240117\">\n\t\t\t\t\t\t\t\t\t01\/17\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS040\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Electroconvulsive Therapy (ECT) Referral Form here: &#038;subject=Document download: Electroconvulsive Therapy (ECT) Referral Form\" aria-label=\"Send Electroconvulsive Therapy (ECT) Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Electroconvulsive Therapy (ECT) Referral Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-403\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Controlled Substance Count Sheet<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240516\">\n\t\t\t\t\t\t\t\t\t05\/16\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS041\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Controlled Substance Count Sheet here: &#038;subject=Document download: Controlled Substance Count Sheet\" aria-label=\"Send Controlled Substance Count Sheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Controlled Substance Count Sheet\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-404\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Trainee Statement of Awareness<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20240417\">\n\t\t\t\t\t\t\t\t\t04\/17\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tHR025 \t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Trainee Statement of Awareness here: &#038;subject=Document download: Trainee Statement of Awareness\" aria-label=\"Send Trainee Statement of Awareness\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Trainee Statement of Awareness\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-405\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"\"><\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tj1802\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download  here: &#038;subject=Document download: \" aria-label=\"Send \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download \">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-406\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Authorization to Release Protected Health Information (PHI) English<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20260925\">\n\t\t\t\t\t\t\t\t\t06\/26\/2026\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCOM001_E\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Authorization to Release Protected Health Information (PHI) English here: &#038;subject=Document download: Authorization to Release Protected Health Information (PHI) English\" aria-label=\"Send Authorization to Release Protected Health Information (PHI) English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Authorization to Release Protected Health Information (PHI) English\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-407\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Clients &#8211; Licensed Providers<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP067\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Licensed Providers here: &#038;subject=Document download: Notice to Clients - Licensed Providers\" aria-label=\"Send Notice to Clients - Licensed Providers\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Clients - Licensed Providers\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-408\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Notice to Clients &#8211; Unlicensed Providers<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP068\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Unlicensed Providers here: &#038;subject=Document download: Notice to Clients - Unlicensed Providers\" aria-label=\"Send Notice to Clients - Unlicensed Providers\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Notice to Clients - Unlicensed Providers\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-409\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Client Health Questionnaire and Initial Screening Questions<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250611\">\n\t\t\t\t\t\t\t\t\t06\/11\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tSUDRS060\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Health Questionnaire and Initial Screening Questions here: &#038;subject=Document download: Client Health Questionnaire and Initial Screening Questions\" aria-label=\"Send Client Health Questionnaire and Initial Screening Questions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Client Health Questionnaire and Initial Screening Questions\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-410\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_M.pdf\">Notice to Clients &#8211; Unlicensed Providers (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP068_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Unlicensed Providers (Mandarin) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_M.pdf&#038;subject=Document download: Notice to Clients - Unlicensed Providers (Mandarin)\" aria-label=\"Send Notice to Clients - Unlicensed Providers (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_M.pdf\" aria-label=\"Download Notice to Clients - Unlicensed Providers (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-411\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_S.pdf\">Notice to Clients &#8211; Unlicensed Providers (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP068_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Unlicensed Providers (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_S.pdf&#038;subject=Document download: Notice to Clients - Unlicensed Providers (Spanish)\" aria-label=\"Send Notice to Clients - Unlicensed Providers (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_S.pdf\" aria-label=\"Download Notice to Clients - Unlicensed Providers (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-412\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_V.pdf\">Notice to Clients &#8211; Unlicensed Providers (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP068_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Unlicensed Providers (Vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_V.pdf&#038;subject=Document download: Notice to Clients - Unlicensed Providers (Vietnamese)\" aria-label=\"Send Notice to Clients - Unlicensed Providers (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP068-NOTICE-TO-CLIENTS-Unlicensed-Providers_V.pdf\" aria-label=\"Download Notice to Clients - Unlicensed Providers (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-413\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_S.pdf\">Notice to Clients &#8211; Licensed Providers (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP067_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Licensed Providers (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_S.pdf&#038;subject=Document download: Notice to Clients - Licensed Providers (Spanish)\" aria-label=\"Send Notice to Clients - Licensed Providers (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_S.pdf\" aria-label=\"Download Notice to Clients - Licensed Providers (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-414\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_V.pdf\">Notice to Clients &#8211; Licensed Providers (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP067_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Licensed Providers (Vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_V.pdf&#038;subject=Document download: Notice to Clients - Licensed Providers (Vietnamese)\" aria-label=\"Send Notice to Clients - Licensed Providers (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_V.pdf\" aria-label=\"Download Notice to Clients - Licensed Providers (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-415\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_M.pdf\">Notice to Clients &#8211; Licensed Providers (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250625\">\n\t\t\t\t\t\t\t\t\t06\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP067_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Notice to Clients - Licensed Providers (Mandarin) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_M.pdf&#038;subject=Document download: Notice to Clients - Licensed Providers (Mandarin)\" aria-label=\"Send Notice to Clients - Licensed Providers (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP067-NOTICE-TO-CLIENTS-Licensed-Providers_M.pdf\" aria-label=\"Download Notice to Clients - Licensed Providers (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-416\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/BOP032-Contracted-Provider-90-Day-Rule-for-OHC-Claim-Attestation-12.10.25.pdf\">Contracted Provider 90-Day Rule for Other Healthcare Coverage (OHC) Claims Attestation<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250825\">\n\t\t\t\t\t\t\t\t\t08\/25\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tBOP032\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contracted Provider 90-Day Rule for Other Healthcare Coverage (OHC) Claims Attestation here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/BOP032-Contracted-Provider-90-Day-Rule-for-OHC-Claim-Attestation-12.10.25.pdf&#038;subject=Document download: Contracted Provider 90-Day Rule for Other Healthcare Coverage (OHC) Claims Attestation\" aria-label=\"Send Contracted Provider 90-Day Rule for Other Healthcare Coverage (OHC) Claims Attestation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/2025\/11\/BOP032-Contracted-Provider-90-Day-Rule-for-OHC-Claim-Attestation-12.10.25.pdf\" aria-label=\"Download Contracted Provider 90-Day Rule for Other Healthcare Coverage (OHC) Claims Attestation\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-417\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM088-IRB-Case-Study-Interview-Request_Final-8.15.25.pdf\">Case Study Request Form<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250815\">\n\t\t\t\t\t\t\t\t\t08\/15\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tQM088\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Case Study Request Form here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM088-IRB-Case-Study-Interview-Request_Final-8.15.25.pdf&#038;subject=Document download: Case Study Request Form\" aria-label=\"Send Case Study Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/QM088-IRB-Case-Study-Interview-Request_Final-8.15.25.pdf\" aria-label=\"Download Case Study Request Form\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-418\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Mandarin-Final.pdf\">Client Resource Evaluation_Mandarin<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP012_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Resource Evaluation_Mandarin here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Mandarin-Final.pdf&#038;subject=Document download: Client Resource Evaluation_Mandarin\" aria-label=\"Send Client Resource Evaluation_Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Mandarin-Final.pdf\" aria-label=\"Download Client Resource Evaluation_Mandarin\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-419\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Span-final.pdf\">Client Resource Evaluation_Spanish<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP012_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Resource Evaluation_Spanish here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Span-final.pdf&#038;subject=Document download: Client Resource Evaluation_Spanish\" aria-label=\"Send Client Resource Evaluation_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-Span-final.pdf\" aria-label=\"Download Client Resource Evaluation_Spanish\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-420\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-vietnamese-final.pdf\">Client Resource Evaluation_Vietnamese<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20241024\">\n\t\t\t\t\t\t\t\t\t10\/24\/2024\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tCLP012_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Client Resource Evaluation_Vietnamese here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-vietnamese-final.pdf&#038;subject=Document download: Client Resource Evaluation_Vietnamese\" aria-label=\"Send Client Resource Evaluation_Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/CLP012-Client-Resource-Evaluation-Final-10.24-vietnamese-final.pdf\" aria-label=\"Download Client Resource Evaluation_Vietnamese\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-421\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/BOP028-Contract-Provider-Closure-Checklist-Final-2015-0524.pdf\">Contract Provider Closure Checklist<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20160501\">\n\t\t\t\t\t\t\t\t\t05\/01\/2016\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tBOP028\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Contract Provider Closure Checklist here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/BOP028-Contract-Provider-Closure-Checklist-Final-2015-0524.pdf&#038;subject=Document download: Contract Provider Closure Checklist\" aria-label=\"Send Contract Provider Closure Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/BOP028-Contract-Provider-Closure-Checklist-Final-2015-0524.pdf\" aria-label=\"Download Contract Provider Closure Checklist\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-422\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form-Span-Final.pdf\">Telehealth Consent Form (Spanish)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250828\">\n\t\t\t\t\t\t\t\t\t08\/28\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS042_S\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Telehealth Consent Form (Spanish) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form-Span-Final.pdf&#038;subject=Document download: Telehealth Consent Form (Spanish)\" aria-label=\"Send Telehealth Consent Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form-Span-Final.pdf\" aria-label=\"Download Telehealth Consent Form (Spanish)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-423\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_MAN.pdf\">Telehealth Consent Form (Mandarin)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250828\">\n\t\t\t\t\t\t\t\t\t08\/28\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS042_M\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Telehealth Consent Form (Mandarin) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_MAN.pdf&#038;subject=Document download: Telehealth Consent Form (Mandarin)\" aria-label=\"Send Telehealth Consent Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_MAN.pdf\" aria-label=\"Download Telehealth Consent Form (Mandarin)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-424\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img class=\"mime-icon\" alt=\"pdf\" src='https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/plugins\/isd-blocks\/dist\/img\/mime-icons\/pdf-icon-24x24.png'\/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_VE.pdf\">Telehealth Consent Form (Vietnamese)<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20250828\">\n\t\t\t\t\t\t\t\t\t08\/28\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tMDS042_V\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Telehealth Consent Form (Vietnamese) here: https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_VE.pdf&#038;subject=Document download: Telehealth Consent Form (Vietnamese)\" aria-label=\"Send Telehealth Consent Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"https:\/\/wp.sbcounty.gov\/dbh\/wp-content\/uploads\/sites\/121\/MDS042-Telehealth-Consent-Form_VE.pdf\" aria-label=\"Download Telehealth Consent Form (Vietnamese)\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-425\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Guidance for Detaining Persons by 5150 Application in Non LPS Designated Facility<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251007\">\n\t\t\t\t\t\t\t\t\t10\/07\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR006\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Guidance for Detaining Persons by 5150 Application in Non LPS Designated Facility here: &#038;subject=Document download: Guidance for Detaining Persons by 5150 Application in Non LPS Designated Facility\" aria-label=\"Send Guidance for Detaining Persons by 5150 Application in Non LPS Designated Facility\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Guidance for Detaining Persons by 5150 Application in Non LPS Designated Facility\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<tr class=\"document-repository-row table-row\" id=\"isd-document-repository-block_05024300d41052ee173c202b00543440-document-repository-426\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-type table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span aria-label=\"link\" class=\"doc-repo-link-icon d-block text-center\"><i class=\"fas fa-external-link-alt\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item document-name table-cell\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a target=\"_self\" href=\"\">Implementation of AB2275 for San Bernardino County<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\" data-sort=\"20251007\">\n\t\t\t\t\t\t\t\t\t10\/07\/2025\t\t\t\t\t\t\t\t<\/td>\n\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell\">\n\t\t\t\t\t\t\t\t\tPR007\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<td class=\"document-repository-item table-cell action-icons\">\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"mailto:?body=Download Implementation of AB2275 for San Bernardino County here: &#038;subject=Document download: Implementation of AB2275 for San Bernardino County\" aria-label=\"Send Implementation of AB2275 for San Bernardino County\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-share fas fa-envelope\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t<a target=\"_blank\" href=\"\" aria-label=\"Download Implementation of AB2275 for San Bernardino County\">\n\t\t\t\t\t\t\t\t\t\t\t<i aria-hidden=\"true\" class=\"icon-download fas fa-download\"><\/i>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t<\/td>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/tr>\n\t\t\t\t\t\t\t\t\t\t<\/tbody>\n\t\t\t\t\t\t\t<\/table>\n\n\t\t\t<\/div>\n\t\t<\/div>\n<\/div>\n<\/div><\/div><\/section>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Departmental Forms Home &rsaquo;Page Type Name Modified Date Program and Number Actions NAR Your Rights (Vietnamese) 03\/01\/2025 QM025_V NAR Your Rights (Mandarin Large Print) 03\/01\/2025 QM025_M NAR Your Rights (Mandarin)<span class=\"ellipsis\">&#8230;<\/span><\/p>\n","protected":false},"author":733,"featured_media":0,"parent":87311,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-87317","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/87317","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/users\/733"}],"replies":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/comments?post=87317"}],"version-history":[{"count":91,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/87317\/revisions"}],"predecessor-version":[{"id":90821,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/87317\/revisions\/90821"}],"up":[{"embeddable":true,"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/pages\/87311"}],"wp:attachment":[{"href":"https:\/\/wp.sbcounty.gov\/dbh\/wp-json\/wp\/v2\/media?parent=87317"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}