Get Ok 04mp033e 2018-2025

Filling out the OK 04MP033E form online is a crucial step in referring individuals for substance abuse assessment and treatment services. This guide will provide you with a clear and supportive overview of how to complete the form effectively.

Follow the steps to successfully complete the OK 04MP033E form.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin by filling in the identifying information section. Enter the case name, county, street address, city, state, ZIP code, and area code for the business phone number.
3. Proceed to the client information section. Provide the client's first name, middle initial, last name, date of birth, gender, and race.
4. In the eligibility section, ensure to indicate that the client's income and resources are insufficient to meet their need for services.
5. In the reason for referral section, clearly identify specific indicators of substance abuse for the person being referred. If relevant, specify whether the substance abuse is drug-related or alcohol-related and include the type of drug when known.
6. Detail any observable behaviors indicating substance abuse that may put child(ren) at risk. Include any relevant historical context.
7. Document any arrests due to substance abuse that could put child(ren) at risk. Examples include DUI incidents with children present or cases involving the manufacture or distribution of drugs in the presence of children.
8. Have the referring CW/CHBS worker sign and date the form, providing their email and area code business phone number.
9. The CW/CHBS supervisor should also sign and date the form.
10. After completing all fields, save changes to the form. You can then download, print, or share the document as needed.

Complete the OK 04MP033E form online today to ensure timely referrals for necessary services.