Follow the steps to successfully complete the CSPI Form Version 3 online.

1. Click ‘Get Form’ button to obtain the form and open it in your document editor.
2. Begin by filling out the SASS agency name and date of CSPI at the top of the form. This information helps identify the appropriate context of the CSPI.
3. Provide the contact person's name and phone number in the designated fields. This is necessary for any follow-up communications.
4. Check the appropriate box to indicate the type of screening being reported. Depending on your situation, complete the corresponding sections as directed.
5. In section 1 (Client Information), fill out the client's name, gender, date of birth, race/ethnicity, RIN#, and state whether the client is a ward of the state. If applicable, enter the DCFS ID.
6. For section 2 (Screening), enter the date and time of the call, as well as the date and time of the screening. Make sure to circle am or pm as appropriate.
7. Complete section 3 (Community Stabilization) by indicating whether it is active SASS stabilization services or a community stabilization plan with hand-off. Provide the relevant dates.
8. Document the details in section 4 (Crisis/Outpatient Services), including the provider of services, start date, discharge date, and type of services provided.
9. Fill out sections 5 and 6 for hospitalization transfer details. Ensure to specify both admission and discharge dates as well as the hospital names and locations.
10. In section 7 (Post Hospitalization), choose between active SASS post-hospitalization services or primary hand-off and provide the date services were initiated.
11. Complete the risk behavior and functioning problems details as provided in the form. Use the appropriate scales for symptoms.
12. Finally, sign the form in the designated signature area and add any notes or comments necessary before submitting your filled-out form.

Start filling out the CSPI Form Version 3 online today for efficient document management!