13-14627-360
San Bernardino Superior Court · Downloading & Viewing Directions
Last updated August 4, 2026
Used by a criminal defendant and their attorney in San Bernardino County to request mental health diversion instead of standard prosecution, documenting diagnosis, treatment plan, and the defendant's consent to treatment and waiver of speedy trial rights.
This form must be printed and filled by hand, or opened in Adobe Acrobat.