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Last revised: 07/15/2005. ADDS/DBMS FORM MH-103. APPLICATION FOR VOLUNTARY EVALUATION. (Pursuant to A.R.S. 36-522). The undersigned ...
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ARS 36 520 form is a form used to declare mental health records of a patient in the state of Arizona.
Health care providers, including physicians, psychologists, and therapists, who provide services related to mental health treatment are required to file ARS 36 520 form.
To fill out ARS 36 520 form, the health care provider must provide relevant patient information such as name, date of birth, and contact details. Additionally, detailed records of the patient's mental health treatment must be included.
The purpose of ARS 36 520 form is to ensure the proper documentation and reporting of mental health records, which helps in providing appropriate care for patients and maintaining accurate records.
ARS 36 520 form requires reporting of patient's personal information, treatment details, diagnosis, medications prescribed, and any other relevant information related to mental health treatment.
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