RequiredFormsExhibit1_5.pdf

This is a Required Forms Exhibit document for the County of Los Angeles Department of Mental Health's Request for Statement of Qualifications #DMH021121B1 for Eating Disorders Services and Electroconvulsive Treatment Services. The document outlines the mandatory forms and documentation that prospective vendors must submit as part of their qualification response. Respondents are required to complete and submit all specified forms to be considered for Master Agreements to provide acute inpatient care, specialized follow-up residential treatment center services, partial hospitalization programs, or intensive outpatient programs for eating disorder services across children, adolescents, and adults, as well as electroconvulsive treatment services on an as-needed basis.

The exhibit specifies the complete list of required forms, certifications, and supporting documentation necessary for vendors to demonstrate compliance and eligibility. All required forms must be completed accurately and submitted by the stated deadline to ensure the respondent's application is deemed responsive and eligible for further evaluation in the selection process for establishing Master Agreements with the County of Los Angeles Department of Mental Health.