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  • Nc Nc-topps Mental Health And Substance Abuse Initial Interview (ages 12-17) 2022

Get Nc Nc-topps Mental Health And Substance Abuse Initial Interview (ages 12-17) 2022-2025

OCTOPUS Mental Health and Substance Use Disorder Adolescent (Ages 1217)Initial Interviews this form for backup only. Do not mail. Enter data into web based system: (http://www.ncdhhs.gov/providers/providerinfo/mentalhealth/nctreatmentoutcomesandprogramperformancesystem).

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How to fill out the NC NC-TOPPS Mental Health And Substance Abuse Initial Interview (Ages 12-17) online

Completing the NC NC-TOPPS Mental Health And Substance Abuse Initial Interview is essential for adolescents aged 12 to 17 receiving mental health services. This guide will walk you through each section of the form, providing detailed instructions for a smooth online experience.

Follow the steps to effectively complete the interview form.

  1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
  2. Begin by entering your name and certification details in the provided fields. Ensure to complete the 'QP First Initial & Last Name' and 'Date' fields accurately.
  3. Provide the required consumer information, including the LME-MCO Assigned Consumer Record Number, Consumer Date of Birth, and Consumer County of Residence.
  4. Indicate the Consumer's Gender by selecting the appropriate option, and fill in the first three letters of the consumer's last name and the first letter of the first name.
  5. If relevant, answer the question regarding whether the consumer is being admitted to a specialty program for maternal, pregnant, perinatal, or post-partum services.
  6. Select the applicable age/disability category for the services being received. Mark all that apply including Adolescent Mental Health and Adolescent Substance Use Disorder.
  7. Record the admission date, which is the date of the first paid service for this episode of care.
  8. Proceed to select all the services the consumer is currently receiving by checking the relevant boxes.
  9. Answer the questions regarding the treatment primarily provided by qualified professionals and demographic information regarding ethnicity and sexual orientation.
  10. Complete the mental health and substance use disorder sections by providing answers related to previous experiences and current conditions.
  11. Assess and mark the frequency of any substance use in the past 12 months and provide detailed responses where necessary.
  12. Once all sections are completed, review the entire form for accuracy and completeness.
  13. Finally, save your changes and utilize options to download, print, or share the completed form as required.

Start completing your documents online with confidence today!

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VT Form HS-122 2019 VT Form HS-122 2015 VT Form HS-122 2013 VT HS-122 & HI-144 2019

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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
airSlate WorkFlow
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