Get Doh 1506 Form

Filling out the Doh 1506 Form online can streamline the process of gathering essential information regarding mental health and substance abuse updates for children. This guide will provide you with clear, step-by-step instructions to help you successfully complete the form with confidence.

Follow the steps to fill out the Doh 1506 Form online.

1. Click the 'Get Form' button to obtain the form and access it in your web browser.
2. Begin by entering the Qualifying Professional's (QP) first initial and last name, alongside the date and signature as required at the top of the form.
3. Indicate the type of interview by marking the appropriate option such as 12 month update, 3 month update, 6 month update, or another bi-annual update.
4. Provide the LME-MCO assigned consumer record number, and optionally include the provider internal consumer record number and Medicaid ID number.
5. Gather information regarding family or guardian involvement in treatment services or planning within the past 3 months.
6. Complete items 6 to 22 based either on the individual's interview responses or the consumer record, ensuring accurate data is captured.
7. Ensure the demographic information, including the consumer's date of birth and gender, is filled out correctly.
8. Mark all services the consumer is receiving and indicate any DSM-IV TR diagnostic classifications relevant to the individual.
9. For questions relating to the living situation, educational enrollment, and behavioral health, answer based on the most current information.
10. Upon completion of the form, review all entries for accuracy and completeness.
11. Save any changes you have made, and download or print the completed form as needed.
12. Finally, as per instructions, enter data into the specified web-based system without mailing the form.

Complete your documents online now for faster processing and convenience.