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RIVERSIDE MENTAL HEALTH PLAN CONSUMER ACCESS, REFERRAL, EVALUATION, & SUPPORT (CARES) Attachment 2-Page 1 of 2 TREATMENT EXTENSION/CHANGE REQUEST Type of Plan: Medical/RCH This is a request for a(n):
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Begin completing the form by providing your personal information in the designated sections. This may include your name, address, contact information, and any other relevant details.
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Next, follow the instructions to provide any necessary supporting documents or attachments. These may include medical records, treatment plans, or other documentation that is required for the evaluation or assessment.
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Fill out the sections pertaining to your mental health history and current condition. Be honest and thorough in your responses, and provide as much detail as possible.
05
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Review the completed form for any errors or omissions. Double-check that all the required fields have been filled out and that the information provided is clear and accurate.
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Who needs attachment 2 riverside mental?
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Individuals seeking mental health services in Riverside.
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Patients or clients requiring an evaluation or assessment of their mental health.
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Medical professionals, psychologists, therapists, or counselors involved in the assessment or treatment process.
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Agencies or organizations involved in mental health-related matters, such as government agencies, insurance companies, or legal entities.
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Any individual or entity mandated by law or regulation to provide or document mental health information accurately.
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What is attachment 2 riverside mental?
Attachment 2 riverside mental is a form used to report mental health information.
Who is required to file attachment 2 riverside mental?
Healthcare providers and facilities are required to file attachment 2 riverside mental.
How to fill out attachment 2 riverside mental?
Attachment 2 riverside mental can be filled out online or submitted through the designated portal.
What is the purpose of attachment 2 riverside mental?
The purpose of attachment 2 riverside mental is to track and monitor mental health information for patients.
What information must be reported on attachment 2 riverside mental?
Information such as diagnosis, treatment plans, and progress of the mental health condition must be reported on attachment 2 riverside mental.
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