Please complete the Agreement to Accept Orders of Psychiatric/Psychological Appointment form. Once completed, please submit the form via email. You may also submit the documents via U.S. Postal mail to the following address:

Superior Court of California
County of San Bernardino
247 West Third Street, 11th Floor
San Bernardino, CA 92415-0302.

You will be notified within four to six weeks regarding the status of your application. Successful psychologist applicants must be willing to provide services at all locations.

Once your application has been approved, you will be contacted by the Contracts and Procurement Department.

All billing-related questions must be submitted to the district where the case is being heard. All other questions may be submitted here.

Appointed Psychiatric/Psychological Evaluation Services Fee Schedule

Appointed Psychiatric/Psychological Evaluation Services Fee Schedule

Claim Forms

Form Number Description
21283 Appointed Evaluation Service Claim Form -- PC 1368/1369, W&I 3050/3051, PC 288.1
17711 Appointed Evaluation Service Claim Form -- PC 1026, EC 1017