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Get Dhcs Form 5086
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How to fill out the Dhcs Form 5086 online
Filling out the Dhcs Form 5086 online is a straightforward process that allows users to document weekly activities related to alcohol and drug recovery services. This guide provides clear and concise steps to ensure accurate completion of the form.
Follow the steps to successfully complete the form
- Click the ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by entering the scheduled time slots for each day of the week. Specify the activities related to detoxification, group sessions, individual sessions, educational sessions, or treatment planning that occur during each time slot.
- For each day of the week, ensure to fill out the activities in the designated boxes that correspond with their respective times, such as Monday through Sunday.
- At the end of each day, calculate the total daily service hours and record them in the 'Total Daily Service Hours' section.
- Once you have completed the daily service hours, calculate the 'Total Hours per week of services provided' and input this data accurately in the designated area.
- Review the entire form to ensure all fields are filled correctly and all information is accurate.
- Finally, you can save changes, download the document, print it, or share it as needed.
Complete your documentation effectively by filling out the Dhcs Form 5086 online today.
It is administered by the Centers for Medicare and Medicaid Services (CMS) and the California Department of Health Care Services (DHCS).
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