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Ion to Admission 3.Deletion of Admission 15c. Is this a dependent youth substance abuse treatment project referral? 2. Service Location i) If yes, what is the court department number? ii) If yes, what is the youth s court case number? 16. *Are you a CalWORKS recipient?------------------- 1-Yes 2-No 17. *Are you a substance abuse treatment participant under Cal WORKS recipient s welfare-to-work plan?------- 1-Yes 2-No 18. *Special Services/Contract? ----------------------------1-Yes 2-No (.

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How to fill out the Lacprs Caloms Form online

Completing the Lacprs Caloms Form online is an essential step for individuals involved in Los Angeles County's participant reporting system. This guide will provide you with clear and straightforward instructions to navigate each section of the form efficiently.

Follow the steps to successfully complete the Lacprs Caloms Form.

  1. Click ‘Get Form’ button to obtain the form and open it in the designated editor.
  2. Begin by selecting the type of form you are completing: New Admission, Correction to Admission, or Deletion of Admission. Indicate your choice by checking the appropriate box.
  3. Provide the service location details if applicable, including the court department number and youth's court case number if you're referring a dependent youth substance abuse treatment project.
  4. Indicate whether you are a CalWORKS recipient and if you are participating in a substance abuse treatment program under your welfare-to-work plan.
  5. Fill in your birth first and last name, along with your mother’s first name and place of birth. Ensure that you select from the provided options where required.
  6. Select the type of service or program you are engaging with from the listed options and indicate any special treatment or recovery programs, if applicable.
  7. Answer the questions regarding your current state including demographic information such as gender, current name, date of birth, ethnicity, and race.
  8. Complete the sections addressing your social security number, driver’s license number, and state of issue. Note that some entries are optional.
  9. Provide detailed responses to questions regarding your treatment history, discharge status, and any disabilities you may have.
  10. At the end of the form, review all the information you've entered. Make sure it is accurate. You will have options to save changes, download, print, or share the completed form.

Begin filling out your documents online today to ensure proper submission.

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The California Outcome Measurement System (CalOMS) is a data collection and reporting system for substance use disorder (SUD) treatment services. It is used to fulfill federal, state, and county reporting requirements for every admission, discharge, or annual update for each SUD treatment service recipient.

CalOMS Treatment (CalOMS Tx) is California's data collection and reporting system for substance use disorder (SUD) treatment services. CalOMS Tx data is due to DHCS by the 15th of each month, or approximately within 45 days of the report month.

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