BH Secure File Transfer for Authorization Request

Send files securely to CenCal’s Behavioral Health Department
* Required fields are marked with asterisk
SENDER INFORMATION
*
*
PLEASE SELECT A COUNTY
*
*
Drop files here, or browse to attach files
Confirmation Required
Are you sure you want to remove the selected file?

For assistance with this Form, please call Behavioral Health Department at (805) 562-1600 or contact us on our website www.cencalhealth.org.

Save Secure Form Draft
Do you wish to save the changes made to 'BH Secure File Transfer for Authorization Request' as a draft?