MN DHS DHS-5204-ENG free printable template
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Clear Form DHS-5204-ENG Alcohol and Drug Abuse Division Rule 25 Assessment Instructions This form has been designed with fillable form fields and the capability to save completed forms on your computer.
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How to fill out rule 25 assessment online form
How to fill out DHS Rule 25 Assesment
01
Obtain the DHS Rule 25 Assessment form from your local DHS office or website.
02
Carefully read the instructions provided with the form.
03
Fill out your personal information, including name, address, and contact details.
04
Provide information regarding your income, assets, and financial status.
05
Answer all questions related to your mental and physical health, if applicable.
06
Include information about your living situation and any support systems you have.
07
Review your completed form for accuracy and completeness.
08
Submit the form to your local DHS office as instructed.
Who needs DHS Rule 25 Assesment?
01
Individuals seeking assistance from the Department of Human Services.
02
Anyone who requires access to services like mental health support, substance abuse treatment, or financial assistance.
03
Families in need of evaluation for eligibility for specific services under DHS regulations.
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What is DHS Rule 25 Assessment?
DHS Rule 25 Assessment is a mandated evaluation procedure implemented by the Department of Human Services to assess individuals for mental health and substance use disorders.
Who is required to file DHS Rule 25 Assessment?
Individuals seeking access to state-funded mental health or substance use disorder services, including treatment facilities and support programs, are required to file a DHS Rule 25 Assessment.
How to fill out DHS Rule 25 Assessment?
To fill out the DHS Rule 25 Assessment, individuals must complete the designated assessment form, providing information about their mental health history, substance use, and any prior treatment experiences, usually in conjunction with a certified assessor.
What is the purpose of DHS Rule 25 Assessment?
The purpose of the DHS Rule 25 Assessment is to determine an individual's eligibility for state-funded services, to guide treatment planning, and to ensure that appropriate resources are allocated to those in need of support.
What information must be reported on DHS Rule 25 Assessment?
The DHS Rule 25 Assessment must report information including the individual's demographic details, history of substance use, mental health status, previous treatment experiences, and any current mental health diagnoses.
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