DSHS Form 20-333 "Outpatient Competency Restoration Program (Ocrp) Transition Plan" - Washington

What Is DSHS Form 20-333?

This is a legal form that was released by the Washington State Department of Social and Health Services - a government authority operating within Washington. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on November 1, 2020;
  • The latest edition provided by the Washington State Department of Social and Health Services;
  • 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 DSHS Form 20-333 by clicking the link below or browse more documents and templates provided by the Washington State Department of Social and Health Services.

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Download DSHS Form 20-333 "Outpatient Competency Restoration Program (Ocrp) Transition Plan" - Washington

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BEHAVIORAL HEALTH ADMINISTRATION (BHA)
Outpatient Competency Restoration Program (OCRP)
Transition Plan
Identifying Information
PARTICIPANT’S NAME
CAUSE NUMBER(S)
ORDERING COURT
DATE OF OCRP ORDER SIGNATURE
OCRP PROVIDER
DATE OF OCRP INTAKE
Contact Information
NAME(S)
PHONE NUMBER(S)
Forensic Navigator
OCRP
FHARPS
FPATH
Adult Outpatient Behavioral
Health Provider
Other
ADDRESS
PHONE NUMBER
Housing Location
Five (5) Day Schedule
Day 1
Day 2
Day 3
Day 4
Day 5
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
PROVIDER
PROVIDER
PROVIDER
PROVIDER
PROVIDER
Included in Five (5) Day Schedule
DSHS
Transportation
OCRP Intake
Medication appointment scheduled
SSI
Client Services (food / clothing / supplies)
Contact with Providers (to include Peers)
Phone
Housing
Adult Outpatient Behavioral Health Intake
Sent to Provider(s) Prior to at Release
Evaluation report and court order sent to OCRP Provider
ID or ID Copy
Medication Record
Booking Photo
Prescription
OCRP Transition Plan
Other Information
SAFETY CONCERNS, SPECIAL NEEDS, TECHNOLOGY NEEDS, LANGUAGE NEEDS, NATURAL SUPPORTS, HOBBIES)
PERSON COMPLETING FORM
DATE FORM COMPLETED
Page 1 of 1
OUTPATIENT COMPETENCY RESTORATION PROGRAM (OCRP) TRANSITION PLAN
DSHS 20-333 (11/2020)
BEHAVIORAL HEALTH ADMINISTRATION (BHA)
Outpatient Competency Restoration Program (OCRP)
Transition Plan
Identifying Information
PARTICIPANT’S NAME
CAUSE NUMBER(S)
ORDERING COURT
DATE OF OCRP ORDER SIGNATURE
OCRP PROVIDER
DATE OF OCRP INTAKE
Contact Information
NAME(S)
PHONE NUMBER(S)
Forensic Navigator
OCRP
FHARPS
FPATH
Adult Outpatient Behavioral
Health Provider
Other
ADDRESS
PHONE NUMBER
Housing Location
Five (5) Day Schedule
Day 1
Day 2
Day 3
Day 4
Day 5
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
TIME / ACTIVITY /
PROVIDER
PROVIDER
PROVIDER
PROVIDER
PROVIDER
Included in Five (5) Day Schedule
DSHS
Transportation
OCRP Intake
Medication appointment scheduled
SSI
Client Services (food / clothing / supplies)
Contact with Providers (to include Peers)
Phone
Housing
Adult Outpatient Behavioral Health Intake
Sent to Provider(s) Prior to at Release
Evaluation report and court order sent to OCRP Provider
ID or ID Copy
Medication Record
Booking Photo
Prescription
OCRP Transition Plan
Other Information
SAFETY CONCERNS, SPECIAL NEEDS, TECHNOLOGY NEEDS, LANGUAGE NEEDS, NATURAL SUPPORTS, HOBBIES)
PERSON COMPLETING FORM
DATE FORM COMPLETED
Page 1 of 1
OUTPATIENT COMPETENCY RESTORATION PROGRAM (OCRP) TRANSITION PLAN
DSHS 20-333 (11/2020)