Need to know
If you have questions about a bill you received or costs associated with your care or services rendered by BHRS, you can contact the Billing team.
Before you start
In order to provide the best possible service, please have the following client information available:
- Client name
- Date of birth
- Last four digits of social number
- Address on file
What to do
Contact by phone
Call 415-473-6816
Contact by email
Email HHS Billing
Submit form
You can complete the digital version of the Financial Responsibility Form or access the PDF options below and email the address above.
- Financial Responsibility Form - ENGLISH
- Financial Responsibility Form - SPANISH
- Financial Responsibility Form - VIETNAMESE
- Financial Responsibility Form - Foster/Adoptive Clients Only
If you are reaching out on behalf of a client who is above the age of 18, please send a completed and signed ROI form to release information on the client's behalf.