Form MEDCO-16 (BWC-3917) Mental Health Notes Summary (Non-psychotherapy Note) - Ohio

Form MEDCO-16 (BWC-3917) Mental Health Notes Summary (Non-psychotherapy Note) - Ohio

What Is Form MEDCO-16 (BWC-3917)?

This is a legal form that was released by the Ohio Bureau of Workers' Compensation - a government authority operating within Ohio. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is form MEDCO-16?A: Form MEDCO-16 is a mental health notes summary form used in Ohio for non-psychotherapy notes.

Q: What is BWC-3917?A: BWC-3917 is the BWC claim number associated with the form MEDCO-16.

Q: What is the purpose of form MEDCO-16?A: The purpose of form MEDCO-16 is to provide a summary of mental health notes for non-psychotherapy sessions.

Q: Who uses form MEDCO-16?A: Form MEDCO-16 is used by mental health professionals in Ohio.

Q: What information is included in form MEDCO-16?A: Form MEDCO-16 includes details such as the patient's name, BWC claim number, dates of service, brief summary of the session, and the provider's signature.

Q: Is form MEDCO-16 specific to Ohio?A: Yes, form MEDCO-16 is specific to mental health professionals in Ohio.

Q: Is form MEDCO-16 used for psychotherapy notes?A: No, form MEDCO-16 is specifically for non-psychotherapy notes.

Q: Is form MEDCO-16 required for all mental health sessions?A: Form MEDCO-16 is only required for non-psychotherapy sessions.

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Form Details:

  • Released on July 13, 2010;
  • The latest edition provided by the Ohio Bureau of Workers' Compensation;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form MEDCO-16 (BWC-3917) by clicking the link below or browse more documents and templates provided by the Ohio Bureau of Workers' Compensation.

Download Form MEDCO-16 (BWC-3917) Mental Health Notes Summary (Non-psychotherapy Note) - Ohio

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