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Improving Lives INTENSIVE OUTPATIENT/DAY TREATMENT FORM MENTAL HEALTH/CHEMICAL DEPENDENCY SUBMIT TO: Utilization Management Department 125158 Research Blvd., Suite 400 Austin, Texas 78759 PHONE 1.800.589.3186
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What is intensive outpatientday treatment form?
Intensive outpatient day treatment form is a document used to report the progress, activities, and treatment plans of individuals receiving outpatient care for intensive mental health or substance abuse issues.
Who is required to file intensive outpatientday treatment form?
Healthcare professionals, social workers, and other providers who are overseeing the intensive outpatient treatment of individuals are required to file the form.
How to fill out intensive outpatientday treatment form?
The form should be filled out with detailed information about the patient's progress, treatment interventions, medications, and any changes to the care plan. It should also include the dates of service and the provider's information.
What is the purpose of intensive outpatientday treatment form?
The purpose of the form is to document the progress and effectiveness of the intensive outpatient treatment, track the patient's response to treatment, and ensure that the care plan is being followed.
What information must be reported on intensive outpatientday treatment form?
Information such as the patient's diagnosis, treatment goals, progress notes, medication management, any changes to the treatment plan, and the provider's contact information must be reported on the form.
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