12640
This form is used in Washington for managing the side effects of hepatitis C treatment. It provides information on how to address and cope with the various side effects that may arise during the course of treatment.
This Form is used for obtaining consent to evaluate and begin mental health treatment in the state of Washington.
This form is used for obtaining consent for the evaluation and initiation of mental health treatment in Washington. It is available in both English and Spanish.
This form is used for keeping track of issues and their resolution in the state of Washington. It helps ensure uniformity and transparency in resolving problems.
This form is used for documenting and tracking the progress of consultations in Washington state. It is used to record key information and communication during the consultation process.
This form is used for requesting offender-paid durable medical equipment (DME) in the state of Washington. The form is available in both English and Spanish.
This document is for the discharge summary of patients after receiving behavioral health treatment in Washington. It provides a summary of the treatment received and recommendations for continued care.
This form is used for assessing alcohol withdrawal symptoms in individuals admitted to the Infirmary/Extended Observation Unit in Washington. The assessment is done using the CIWA-AR scale.
This Form is used for providing a written record of the proceedings and decisions made during a 14-day/180-day Involuntary Antipsychotic Hearing in the state of Washington.
This Form is used for recording the minutes of a 14-day/180-day involuntary antipsychotic hearing in Washington state.
This document is a form for the Accommodation Review Committee in Washington state. It is used to notify offenders about the committee's decisions. The form is available in both English and Spanish.
This form is used for applying for the Health Services Housing Program in Washington. It is a program designed to provide housing assistance to individuals in need of health services.
This Form is used for reporting primary encounters in Washington.
This form is used for documenting and tracking the progress of close observation of individuals in Washington state.
This form is used for pre-clearance of Gender Dysphoria Crc in Washington.
This form is used for detecting suicide risk in Washington state. It helps to assess and identify individuals who may be at risk of self-harm or suicide.
This form is used for conducting a screening questionnaire by the Department of Natural Resources (DNR) in Washington. It is available in both English and Spanish.
This form is used for patients in Washington to appeal the decision made by the Care Review Committee regarding their care.
This Form is used for notifying individuals about deficiencies in their health records in Washington.
This Form is used for Substance Use Disorder Treatment Participation Requirements in Washington State. It is available in both English and Spanish.
This form is used for disclosing substance use disorder program information and authenticating signatures in the state of Washington.
This form is used for applying to the Health Services Housing Program in Washington. It is available in both English and Spanish.
This form is used for filing a notice of termination of substance abuse treatment in the state of Washington, as well as a request for an appeal.
This Form is used for creating an individualized plan for people with substance use disorders in Washington State.
This form is used for documenting the progress of substance abuse treatment groups in Washington.
This Form is used for organizing substance use disorder case files in Washington state. It provides a checklist to ensure all necessary documents and information are properly organized and maintained.
This document is used for making decisions regarding the termination of substance abuse treatment in the Substance Abuse Recovery Unit in the state of Washington.