Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin

Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin

What Is Form F-00381?

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

FAQ

Q: What is Form F-00381?A: Form F-00381 is the Outpatient Mental Health Clinic Certification Withdrawal Checklist in Wisconsin.

Q: What is an Outpatient Mental Health Clinic?A: An Outpatient Mental Health Clinic is a facility that provides mental health services on an outpatient basis.

Q: What is the purpose of Form F-00381?A: The purpose of Form F-00381 is to document the withdrawal of certification for an Outpatient Mental Health Clinic in Wisconsin.

Q: What information is required on Form F-00381?A: Form F-00381 requires information such as the clinic's name, address, and reason for withdrawal of certification.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2011;
  • The latest edition provided by the Wisconsin Department of 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 Form F-00381 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin

4.4 of 5 (16 votes)
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin

    1

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 2

    2

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 3

    3

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 4

    4

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 5

    5

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 6

    6

  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 1
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 2
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 3
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 4
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 5
  • Form F-00381 Outpatient Mental Health Clinic Certification Withdrawal Checklist - Wisconsin, Page 6
Prev 1 2 3 4 5 6 Next
ADVERTISEMENT

Related Documents