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  • Adult (ages 18 And Up) Episode Completion Interview - Ncdhhs

Get Adult (ages 18 And Up) Episode Completion Interview - Ncdhhs

NC-TOPPS Mental Health and Substance Abuse Adult (Ages 18 and up) Episode Completion Interview Use this form for backup only. Do not mail. Enter data into web-based system (http://www.ncdhhs.gov/mhddsas/nc-topps).

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How to use or fill out the Adult (Ages 18 And Up) Episode Completion Interview - Ncdhhs online

The Adult (Ages 18 And Up) Episode Completion Interview - Ncdhhs is an essential document used to gather critical information regarding individuals receiving mental health and substance abuse services. This guide will provide you with step-by-step instructions on how to fill out this form online accurately and effectively.

Follow the steps to complete the interview form.

  1. Press the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the QP first initial and last name in the designated field. This identifies the qualified professional completing the interview.
  3. Date the entry by selecting the current date in the date field.
  4. Fill in the LME assigned consumer record number to uniquely identify the consumer’s case.
  5. If applicable, answer the questions related to female adult substance abuse consumers regarding enrollment in the Maternal/Pregnant program.
  6. Provide the first three letters of the consumer's last name and the first letter of their first name.
  7. Complete the consumer’s personal information including date of birth, gender, and appropriate age/disability categories. Ensure to mark all that apply.
  8. Answer additional questions related to the consumer’s assistance, treatment, and medication information as required.
  9. Complete the assessments of functioning by indicating the status of the Global Assessment of Functioning (GAF) score.
  10. Fill out sections regarding treatment participation and any additional substance use, ensuring to note frequency of attendance and reasons for episode completion.
  11. Complete further follow-up questions related to employment status, treatment access difficulties, and community participation.
  12. Finish filling out any remaining questions based on direct interview information or consumer record to ensure comprehensive data collection.
  13. Review all entered information for accuracy and completeness before proceeding.
  14. Save your changes to keep a copy of the completed interview form.
  15. If needed, you can download, print, or share the completed form from the editor.

Complete the Adult (Ages 18 And Up) Episode Completion Interview online to ensure accurate and effective service delivery.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232