NC DHHS/DHSR/MHL5001 2018-2025 free printable template
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North Carolina Department of Health and Human Services Division of Health Service Regulation Mental Health Licensure & Certification Section Initial Licensure Application Packet Form# HHS/DSR/MHL5001
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Who needs NC DHHS/DHSR/MHL5001?
01
Individuals seeking mental health services in North Carolina.
02
Providers or organizations delivering mental health services.
03
Caregivers or family members involved in the mental health care of a person.
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What is NC DHHS/DHSR/MHL5001?
NC DHHS/DHSR/MHL5001 is a form used by the North Carolina Division of Health Service Regulation to collect data on mental health, developmental disabilities, and substance abuse services in the state.
Who is required to file NC DHHS/DHSR/MHL5001?
Providers of mental health, developmental disabilities, and substance abuse services licensed by the NC DHHS are required to file the NC DHHS/DHSR/MHL5001.
How to fill out NC DHHS/DHSR/MHL5001?
To fill out the NC DHHS/DHSR/MHL5001 form, gather necessary data as specified by the form's instructions, complete each section accurately, and submit it to the appropriate regulatory body by the specified deadline.
What is the purpose of NC DHHS/DHSR/MHL5001?
The purpose of NC DHHS/DHSR/MHL5001 is to monitor and evaluate the quality and effectiveness of mental health, developmental disabilities, and substance abuse services being provided in North Carolina.
What information must be reported on NC DHHS/DHSR/MHL5001?
The NC DHHS/DHSR/MHL5001 requires reporting information such as service utilization data, client demographics, types of services provided, and outcomes related to mental health and substance abuse treatment.
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