Get Ok 04mp033e 2006

The OK 04MP033E form is essential for referring clients in need of substance abuse assessment and treatment services. This guide will provide clear, step-by-step instructions to easily complete the form online, ensuring that you provide all necessary information accurately.

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

1. Click the ‘Get Form’ button to access the OK 04MP033E form and open it in your online editor.
2. Begin by entering the identifying information. Fill in the case name, family street address, county, city, state, zip code, KK number, area code, and phone number. Ensure that all details are accurate to help in referring the correct clients.
3. Proceed to the section labeled 'Family members referred for services.' For each individual, provide their first name, middle initial, last name, date of birth, gender, and race. This information is crucial for processing the referral.
4. In the eligibility section, confirm that the income and resources are insufficient to meet the need for services. This helps establish the client's need for assistance.
5. Describe the reason for referral. Clearly specify whether the need is for a substance abuse assessment, treatment services, or both. Providing detailed insight here will facilitate a more effective referral.
6. Complete the signatures section. Ensure the referring CW/CHBS worker signs the form and includes their email address. Additionally, the CW/CHBS supervisor must sign as well.
7. Once all sections have been filled out, review the information for accuracy. After confirming that all data is correct, save your changes. You can download, print, or share the form as needed for submission.

Complete your documents online today to ensure timely referrals for services.