Get Mo Dmh Scl Face Sheet 2004-2025

Preparing to complete the MO DMH SCL Face Sheet online is an essential step in facilitating services through the Missouri Department of Mental Health. This guide provides clear, step-by-step instructions ensuring that the form is filled out accurately and efficiently.

Follow the steps to complete the MO DMH SCL Face Sheet online.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering the required information in the top section. Fill in your hospital code, DMH ID number, and the client’s name, which includes their last and first name. Ensure that the admission date is accurately noted.
3. Complete the unit program code and ward code sections, followed by the client’s birthdate, sex, and address. Entering accurate information in these fields is crucial for proper identification.
4. In the treatment program code section, provide the required code and select the client’s race, marital status, and county of residence within Missouri. Ensure that the information aligns with the designated options.
5. Fill in the client’s social security number and indicate whether they are a veteran. If applicable, provide any other name the client may have, such as a maiden name or alias.
6. Provide information on the number of children, birthplace, education level, and usual occupation of the client. This information helps in understanding the client’s background.
7. Next, fill out the father’s name, address, and phone number. If the father is deceased, write 'deceased' in the address field.
8. Continue with the mother's name, address, and phone number following the same procedure as with the father. Include the legal guardian details if applicable, and indicate their relationship to the client.
9. In the commitment type section, circle the appropriate code based on the client's situation as required. Multiple options may be listed and should be chosen carefully.
10. Record the necessary diagnoses and procedures codes. Fill in the five axes (I-V) as required to ensure the client's historical information is captured accurately.
11. Complete the sections for both the SCL residential provider and community service provider, including their phone numbers and addresses where applicable.
12. Finally, the staff signature and date can be filled out if appropriate, and you can skip the physician’s signature unless stated otherwise.
13. Once all sections are completed, save changes to the document. Users can then download, print, or share the form as needed.

Start filling out your MO DMH SCL Face Sheet online today to streamline your documentation process.