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See Also...

  • Behavioral Health Services Workgroup
  • Community Behavioral Health
  • Correctional Behavioral Health
  • Human Services Center
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Resources

  • DSS Employment
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Community Behavioral Health

Forms

  • Alcohol & Drug Accreditation Application Form
  • Authorization For Release of Confidential Information Consent Form for Agency
  • Mental Health Accreditation Application
  • Indigent Medication Program Form
  • Involuntary Commitment Information For Attorneys
    • Emergency and Involuntary Commitment Manual (6-2010)
    • Order For Involuntary Commitment of a Person Alleged to be an Alcoholic
    • Order For Involuntary Commitment of a Person Alleged to be Chemically Dependent
    • Order Upon Stipulation For Involuntary Commitment of a Person Alleged to be an Alcoholic
    • Order Upon Stipulation For Involuntary Commitment of a Personel who is Chemically Dependent
  • Means Testing Form 100 (Financial Eligibility)
  • Means Testing Form 101 (Financial Eligibility)
  • Means Testing Form 102a (Hardship Consideration)
  • Means Testing Form 102b (Hardship Consideration)
  • Means Testing Form 103 (Refusal of Hardship Consideration Process)
  • Trading Partner Agreement
    • Trading Partner to submit electronic claims

 

 

 

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