Get the free Documentation of Consumer Choice to Receive DHS-Funded Services - dhs state il
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This document outlines the consumer's choice regarding the acceptance of DHS-funded mental health services and explains the personal information that will be reported to the Department of Human Services
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How to fill out documentation of consumer choice
How to fill out Documentation of Consumer Choice to Receive DHS-Funded Services
01
Obtain the Documentation of Consumer Choice form from your local Department of Human Services (DHS) office or their website.
02
Read the instructions carefully to ensure you understand the requirements.
03
Fill out your personal information at the top of the form, including your name, address, and contact details.
04
Indicate the specific services you are choosing to receive from DHS.
05
Review the options available and select the provider or program that you prefer.
06
If necessary, include any additional documentation requested to support your choice.
07
Sign and date the form to confirm your choices.
08
Submit the completed form to your DHS case worker or the appropriate office.
09
Keep a copy for your records.
Who needs Documentation of Consumer Choice to Receive DHS-Funded Services?
01
Individuals seeking assistance from DHS-funded services such as healthcare, housing, or social support programs.
02
Consumers who require documentation to specify their service preferences and providers.
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What is Documentation of Consumer Choice to Receive DHS-Funded Services?
Documentation of Consumer Choice to Receive DHS-Funded Services is a formal process that allows consumers to express their preferences regarding the services they wish to receive that are funded by the Department of Human Services (DHS).
Who is required to file Documentation of Consumer Choice to Receive DHS-Funded Services?
Consumers who are eligible for DHS-funded services and wish to receive specific services are required to file this documentation.
How to fill out Documentation of Consumer Choice to Receive DHS-Funded Services?
To fill out the Documentation of Consumer Choice, consumers need to provide personal information, specify the services they choose, and sign the form to indicate their informed consent.
What is the purpose of Documentation of Consumer Choice to Receive DHS-Funded Services?
The purpose of this documentation is to ensure that consumers have a say in the services they receive, promoting autonomy and individual choice in personal care and support.
What information must be reported on Documentation of Consumer Choice to Receive DHS-Funded Services?
The information that must be reported includes the consumer's name, contact information, selected services, and the consumer's signature confirming their choice.
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