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  • Oh Mhas Obhis Discharge Record Fields 2021

Get Oh Mhas Obhis Discharge Record Fields 2021-2025

OBIS DISCHARGE RECORD FIELDS Identifier Type:*OBIS Client ID Number:*GOSHSharesHeartlandMedicaidSSNUnknownMACSISFirst Name:*Last Name:*Date of Birth:* (mm/dd/YYY)Gender:*Race:*Ethnicity:*FemaleMaleCubanAlaska.

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How to fill out the OH MHAS OBHIS Discharge Record Fields online

Filling out the Ohio Mental Health and Addiction Services (OH MHAS) OBHIS Discharge Record Fields is an essential task that ensures proper documentation of a person's discharge from mental health or addiction services. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.

Follow the steps to successfully fill out the OBHIS Discharge Record Fields.

  1. Click the ‘Get Form’ button to access the OBHIS Discharge Record Fields form. This action will allow you to obtain the form and open it for entry.
  2. Begin by entering the OBHIS Client ID Number and proceed to fill in the individual's first and last name. Ensure that all mandatory fields are marked with an asterisk (*) are completed accurately.
  3. Record the individual's date of birth in the format mm/dd/yyyy, and select the appropriate gender, race, and ethnicity from the available options.
  4. Indicate the discharge type by selecting from the options provided, which include 'AOD Only', 'MH Only', and 'AOD/MH'.
  5. Document the living arrangement at discharge by choosing the applicable category from options such as 'Private Residence-Adult', 'Foster Care', or 'Homeless'.
  6. Fill out the employment status at discharge, selecting from choices like 'Full Time', 'Part Time', or 'Unemployed but actively looking for work'.
  7. Complete the educational enrollment section by selecting the highest education level completed and, if applicable, the type of education (K-12).
  8. If the individual is pregnant, respond to questions regarding pregnancy status by selecting 'Yes' or 'No' and, if applicable, indicating the stage of pregnancy.
  9. Address the special populations section by indicating any relevant statuses such as 'Suicidal' or 'Domestic Violence Victim/Witness'.
  10. For the discharge reason, select an appropriate option which reflects the circumstances of discharge, ensuring to include the discharge and last service dates in mm/dd/yyyy format.
  11. Complete the mental health and alcohol and other drug discharge fields by filling in diagnostic codes, care settings, and any necessary treatment information.
  12. Once you have filled out all required fields, review your entries for accuracy. Finally, you can save changes, download, print, or share the form as needed.

Begin completing your document online today to ensure a timely and accurate discharge record.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232