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Mental Health Diversion Provider Agreement

San Mateo Superior Court · Adoption

This form was updated 29 days ago — make sure you're using the latest version.

Last updated July 3, 2026

This form is used by mental health treatment providers to agree to provide services to people who are going through the court system instead of facing criminal prosecution. Someone who has been arrested but is eligible for a mental health program would need this form, along with their treatment provider, to set up their participation in diversion.

This form has fillable fields — you can complete it directly in the viewer on the right.
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