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Get Dcf Pamphlet 155 2
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How to fill out the DCF Pamphlet 155-2 online
The DCF Pamphlet 155-2, also known as the Functional Assessment Rating Scale (FARS), is an essential form used in the assessment of individuals receiving mental health services. This guide will provide clear, step-by-step instructions on how to successfully complete the form online, ensuring that all necessary fields are accurately filled.
Follow the steps to successfully complete the DCF Pamphlet 155-2 online
- Click the ‘Get Form’ button to access the DCF Pamphlet 155-2. This will open the form in an online editor.
- Begin by filling in the client’s Social Security Number (SSN) in the designated field, ensuring it is a 9-digit number.
- Next, enter the Contractor ID, which is the Federal Employer Identification Number of the agency directly contracted with SAMH.
- Proceed to the DCF Evaluation field and select the appropriate purpose code for the assessment: admission, six-month assessment, discharge, administrative discharge, or none of the above.
- Fill in the Evaluation Date using the required date format (MM/DD/YYYY) indicating when the assessment was conducted.
- Complete the Provider ID field with the 10-digit ID of the agency providing services.
- Indicate the Substance Abuse History by selecting 'Yes' or 'No' to indicate whether the client has abused substances in the past six months.
- Assess the client using various scales outlined in the form, including Depression, Anxiety, and others. Fill in the appropriate ratings for each scale.
- After completing all relevant fields, review the information for accuracy. Make sure all mandatory fields, marked with an asterisk, are filled.
- Finally, save your progress, and choose to download, print, or share the completed form as required.
Complete your DCF Pamphlet 155-2 online today for efficient data entry and management.
You can mail, fax, upload your documents in your ESS self service portal t, or turn in information at a local office or community partner. Please write your ACCESS # or case #, name, date of birth, phone number, etc., on all of the information you give us.
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