Get State Of Florida Mental Health Outcome Form - Dcf State Fl

The State of Florida Mental Health Outcome Form is essential for documenting assessments and evaluations related to mental health services. This guide provides clear, step-by-step instructions on how to accurately complete the form online, ensuring all necessary information is included.

Follow the steps to complete the Mental Health Outcome Form online.

1. Click the ‘Get Form’ button to obtain the Mental Health Outcome Form and open it in your preferred document editor.
2. Begin filling out the form by entering the client's social security number in the designated field. It is important to ensure accuracy as this information is critical.
3. Next, input the contractor ID. If your agency acts as a subcontractor, make sure to provide the Managing Entity’s ID here.
4. Indicate the purpose of the evaluation by selecting the appropriate option from the list provided. Choose either admission, quarterly evaluation, regular discharge, administrative discharge, or immediate discharge.
5. Fill in the evaluation date using the format mm/dd/yyyy. This date reflects when the evaluation took place.
6. Input your subcontracted provider ID, ensuring to follow the specified format. If your agency is the subcontracted provider, please provide your ID accurately.
7. Complete the initial evaluation date field, which may auto-populate for direct data entry providers.
8. Continue by completing the site ID and client ID sections, ensuring all identifiers are entered as instructed.
9. For the primary and secondary diagnoses, enter the appropriate ICD9 codes. Ensure the primary diagnosis relates to mental health if the client has both mental health and substance abuse conditions.
10. In the staff ID block, enter the educational code that corresponds with the staff member overseeing the evaluation.
11. Indicate whether the client has a psychiatric disability income and provide necessary prognosis information.
12. Complete the details regarding the client's dependency and criminal status using the provided codes to describe their situation accurately.
13. Indicate the admission type by selecting the relevant option from the provided list based on the client's status.
14. For the 'number of days spent in the community' and any other relevant fields, please input the corresponding data as required.
15. Once all fields and sections have been thoroughly filled out, review the form to ensure all necessary details are complete and correct.
16. After confirming that everything is accurate, you can save your changes, download, print, or share the form as needed.

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