Welcome to the Los Angeles Maternal Mental Health Access ​(LAMMHA) application form - thank you for your interest!

Application to LAMMHA is on a per site basis. Health Centers are encouraged to apply for more than one site location. Any site that serves prenatal patients, pediatrics patients, and/or patients up to 1 year postpartum is eligible to apply. The application takes 5-10 minutes to complete per site once you have the needed clinic data on hand. You may save and come back later to complete. You may tab to the next entry field and use reset to clear your response to an individual question. A code is provided after submission for you to return to your application response.

Please see attached copy of the CCALAC LAMMHA sub-recipient agreement for review.  A fully executed agreeement is required for particiaption.   

LAMMHA Sub-Recipient Agreement_Cohort 4.pdf

If you have any questions or need any clarification as you complete this application, don't hesitate to reach out to us at lammha@ccalac.org


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