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This document is used to record the discharge information for clients of the Kansas Problem Gambling program, including personal details, discharge reasons, and service types at discharge.
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How to fill out kansas problem gambling concerned
How to fill out Kansas Problem Gambling “Concerned Other” Discharge Form
01
Obtain the Kansas Problem Gambling 'Concerned Other' Discharge Form from the official website or mental health provider.
02
Fill in the personal information section with your name, contact details, and relationship to the individual you are concerned about.
03
Provide specific details about the individual’s gambling behavior and how it has affected their life and relationships.
04
Document any previous attempts to seek help or interventions taken to address the gambling issue.
05
Sign and date the form to certify the information provided is accurate to the best of your knowledge.
06
Submit the completed form to the appropriate mental health professional or agency designated by the Kansas Problem Gambling program.
Who needs Kansas Problem Gambling “Concerned Other” Discharge Form?
01
Individuals who are concerned about a loved one’s gambling behavior and want to facilitate their access to support services.
02
Family members or friends of individuals experiencing problem gambling who wish to express their concerns formally.
03
Health professionals who may need to document a concerned other’s observations regarding a client's gambling habits.
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What is Kansas Problem Gambling 'Concerned Other' Discharge Form?
The Kansas Problem Gambling 'Concerned Other' Discharge Form is a document used to certify that a concerned party, such as a family member or friend of a person with a gambling problem, has completed a course of treatment or has been appropriately discharged from a gambling-related service.
Who is required to file Kansas Problem Gambling 'Concerned Other' Discharge Form?
The form is required to be filed by treatment providers or organizations that offer assistance to individuals dealing with problem gambling, especially when a concerned other has been involved in the process.
How to fill out Kansas Problem Gambling 'Concerned Other' Discharge Form?
To fill out the form, one must provide personal information about the concerned other, details of the treatment program, dates of service, and a summary of the individual's progress and discharge status.
What is the purpose of Kansas Problem Gambling 'Concerned Other' Discharge Form?
The purpose of the form is to document the completion of a treatment program for concerned others, ensuring they have received the necessary support and information to assist their loved ones effectively.
What information must be reported on Kansas Problem Gambling 'Concerned Other' Discharge Form?
The form must report details such as the name and contact information of the concerned other, the name of the person they are concerned about, treatment dates, discharge status, and any relevant remarks regarding the treatment process.
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