MHSA Public Comment Submission

Stakeholder Info & Comment

Please complete this complete this electronic form if you would like to submit a "Public Comment" regarding any Mental Health Services Act (MHSA) topic, program or activity. You may also send comments via:

Email: MHSA@smcgov.org,
Phone Message: 650.573.2889
Mail:
- Attn: MHSA
- 310 Harbor Blvd. Bldg E
- Belmont, CA 94002

Question Title

* 1. Contact Information (optional)

First Name:

Last Name:

Email:

Agency/Organization:

Question Title

* 2. Which stakeholder group do you identify with?

Client/Consumer of mental health and/or substance use services

Families of clients/consumers

Provider of mental health and/or substance use services

Provider of other social services

Community Member with no affiliation (no agency or group)

Education/Schools

Health care

Law enforcement

Faith-based organization

Veterans and /or representatives from veterans organizations

People living with disabilities

Other stakeholder group. Please specify:

Question Title

* 1. Contact Information (optional)

Question Title

* 2. Which stakeholder group do you identify with?

Question Title

* 3. Provide your comment here.