Mental Health and Substance Abuse Screen Form - Early and Periodic Screening, Diagnosis, Treatment (Epsdt) - Delaware

Mental Health and Substance Abuse Screen Form - Early and Periodic Screening, Diagnosis, Treatment (Epsdt) - Delaware

Mental Health and Substance Abuse Screen Form - Early and Periodic Screening, Diagnosis, Treatment (Epsdt) is a legal document that was released by the Delaware Department of Services for Children, Youth and their Families - a government authority operating within Delaware.

FAQ

Q: What is the Mental Health and Substance Abuse Screen Form?A: The Mental Health and Substance Abuse Screen Form is a tool used in Early and Periodic Screening, Diagnosis, and Treatment (EPSDT) for individuals in Delaware.

Q: What is Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)?A: EPSDT is a program that provides comprehensive and preventive health care services to eligible individuals under the age of 21 in Delaware.

Q: What is the purpose of the Mental Health and Substance Abuse Screen Form?A: The purpose of this form is to screen individuals for mental health and substance abuse issues, and to facilitate appropriate diagnosis and treatment if needed.

Q: Who uses the Mental Health and Substance Abuse Screen Form?A: The form is used by healthcare providers participating in the EPSDT program in Delaware.

Q: What does the Mental Health and Substance Abuse Screen Form include?A: The form includes questions related to mental health and substance abuse symptoms, family history, and other relevant factors.

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Form Details:

  • Released on July 1, 2013;
  • The latest edition currently provided by the Delaware Department of Services for Children, Youth and their Families;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the Delaware Department of Services for Children, Youth and Their Families.

Download Mental Health and Substance Abuse Screen Form - Early and Periodic Screening, Diagnosis, Treatment (Epsdt) - Delaware

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