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Yes No Seclusion - total min. this episode minutes DMH-LIC-015R DMH-0484a Rev. 1/13 Page 1 of 2 Race/Ethnicity Codes A Asian B Black/African American P Native Hawaiian/Other Pacific Islander Persons Involved In The Incident H Hispanic W White I Alaskan Native U Unknown Resident s Involved/HIPAA Identifer Please No Resident Names M Bi/Multiracial Age Gender M Male F Female S Staff V Visitor Other s Involved Initials or Facility Identifer - No names please N Native Am./Am.Indian Race P...
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What is file l dmhas 0484?
File L DMHAS 0484 is a form used for reporting specific data related to mental health services to the Department of Mental Health and Addiction Services.
Who is required to file file l dmhas 0484?
Organizations and providers that deliver mental health services funded or regulated by the Department of Mental Health and Addiction Services are required to file file L DMHAS 0484.
How to fill out file l dmhas 0484?
To fill out file L DMHAS 0484, gather required patient data, financial information, and service details, and then complete the form according to the instructions provided by DMHAS.
What is the purpose of file l dmhas 0484?
The purpose of file L DMHAS 0484 is to collect standardized data for monitoring, funding, and evaluating mental health services and programs.
What information must be reported on file l dmhas 0484?
The information that must be reported on file L DMHAS 0484 includes patient demographics, type of services provided, funding sources, and outcome measures.
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