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Office of Mental Health

Data Upload Notification Form
Patient Characteristics Survey (PCS) Unit


As it becomes available, please send information regarding the file upload to our Survey Coordinator and the additional email address shown below.

Additional contact (Survey Coordinator is updated in the Facility Survey in MHPD):

Note: The PCS Unit will attempt to notify you of information as it becomes available. In addition, please add the PCS Home Page to your favorites and check the Web site periodically for updated documents.

This form enables visitors to to submit information to OMH by UNSECURE EMAIL. E-mail sent to OMH through this site is not secure, so visitors should NOT transmit personal or medical information about themselves or other persons using this function. OMH CANNOT GUARANTEE THE PROTECTION/ INACCESSIBILITY BY OTHERS OF INFORMATION INCLUDED ON THIS FORM AND SENT TO OMH.