NAMI California maintains Inmate Mental Health Information Forms (with instructions for each site) listed by prison location that can be used to inform prison clinical staff of psychiatric diagnosis, medication, and medical information regarding a person with a serious mental illness who has been transferred from the county jail to a Reception Center prison. Click on the links below to access the prison website. Print the Inmate Mental Health Information Form and accompanying instructions for the correct prison site, complete, and fax.
California Institution for Men – Chino
14901 Central Avenue
Chino, CA 91710
(909) 597-1821
English Form Spanish Form
English Instructions Spanish Instructions
California Rehabilitation Center (CRC) – Norco
5th Street & Western
Norco, CA 92860
(951) 737-2683
English Instructions Spanish Instructions
California State Prison, Los Angeles County (LAC)
44750 60th Street
West Lancaster, CA 93536-7620
(661) 729-2000
English Instructions Spanish Instructions
Deuel Vocational Institution (DVI) – Tracy
23500 Kasson Road
Tracy, CA 95376
(209) 835-4141
English Instructions Spanish Instructions
North Kern State Prison (NKSP)
2737 West Cecil Avenue
Delano, CA 93215
(661) 721-2345 (General)
English Instructions Spanish Instructions
Richard J. Donovan Correctional Facility (RJD)
480 Alta Road
San Diego, CA 92179
(619) 661-6500
English Instructions Spanish Instructions