Get Dartsdata

Filling out the Dartsdata client/patient admission data entry form is a crucial step for ensuring accurate reporting and tracking of services in the field of addiction treatment. This guide provides clear and detailed instructions to help users navigate each section of the form effectively.

Follow the steps to complete the Dartsdata form efficiently.

1. Press the ‘Get Form’ button to access the Dartsdata form and open it in your digital editor.
2. Fill out the provider information section, indicating the name of the organization providing the treatment services.
3. Enter the unique client/patient identifier, which may include the social security number or RIN, depending on the status.
4. Record the initial date of contact, marking the first request for service. Ensure this is not confused with the date of the first assessment or treatment unless they coincide.
5. Input the opening date, signifying the first day of service for billing purposes. Any date preceding this will not be accepted.
6. Provide the internal identification number and client/patient type (treatment or intervention).
7. Complete the assessment date, which tracks the first formal evaluation necessary for determining treatment needs.
8. Fill out the demographic details, including name, address, birth date, race, ethnicity, sex, marital status, and living arrangement.
9. Detail the health insurance information, employment status, and any relevant income data. This section helps determine eligibility for treatment funding.
10. Specify the primary and any secondary problem areas, including frequency of use and primary administration routes for substances used.
11. Lastly, ensure all sections are properly completed, then save changes, download, print, or share the form as needed.

Start filling out the Dartsdata form online today to ensure accurate reporting and access to treatment services.