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Mental Health Screening Tool (MOST 0-5) Child 0 to 5 Years California Institute for Mental Health 1119 K Street Sacramento, CA 95814 (916) 556-3480 Made possible through a grant from the Hollenbach
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How to fill out cimh mhst form
How to fill out a CIMH MHST form?
01
Gather all necessary information: Before starting to fill out the CIMH MHST form, make sure you have all the required information at hand. This may include personal details, contact information, medical history, and any relevant documentation.
02
Read the instructions carefully: Take the time to thoroughly read through the instructions provided with the form. Understanding the purpose of each section and the specific requirements will prevent errors and ensure accurate completion.
03
Start with personal information: Begin by entering your full name, date of birth, address, and contact details. Be sure to use legible handwriting and provide updated and accurate information.
04
Include relevant medical history: In the designated section, provide details about your past and current medical conditions, medications, allergies, and any other pertinent health information. This will assist in evaluating your suitability for the CIMH MHST program.
05
Consent and authorization: If required, carefully review and sign the consent and authorization sections of the form. This indicates your agreement to participate in the program and allows for the sharing of necessary information with relevant healthcare professionals.
06
Complete additional sections: Depending on the specific form, there may be additional sections to fill out. Make sure to thoroughly complete these sections, providing as much detail as possible.
07
Review and double-check: Before submitting the form, take a few moments to review all the information you have entered. Check for any errors or missing information, ensuring that everything is accurate and complete.
08
Follow submission instructions: Once the form is filled out and reviewed, follow the specified instructions for submitting it. This may include mailing it to a specific address, submitting it online, or delivering it in person.
Who needs a CIMH MHST form?
01
Individuals seeking mental health support: The CIMH MHST form is typically required for individuals seeking mental health support services offered by the CIMH (Center for Integrated Mental Health) or the MHST (Mental Health Support Team). It is necessary to gather relevant information and assess the individual's eligibility for the program.
02
Patients referred by healthcare professionals: In some cases, healthcare professionals may refer their patients to the CIMH or MHST, and consequently, these individuals will need to fill out the CIMH MHST form. This ensures a comprehensive understanding of the patient's mental health status and facilitates appropriate care.
03
Returning participants: If you have previously participated in the CIMH MHST program and are seeking continued support or follow-up services, you may be required to fill out the CIMH MHST form again. This helps update your information and provide the necessary details for ongoing care.
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What is cimh mhst form?
The cimh mhst form is a document used to report information related to mental health services provided by Community Mental Health Centers (CMHCs).
Who is required to file cimh mhst form?
CMHCs that provide mental health services are required to file the cimh mhst form.
How to fill out cimh mhst form?
The cimh mhst form can be filled out by providing the requested information related to mental health services provided by the CMHC.
What is the purpose of cimh mhst form?
The purpose of the cimh mhst form is to collect data on the mental health services provided by CMHCs for analysis and monitoring.
What information must be reported on cimh mhst form?
The cimh mhst form requires reporting of information such as types of mental health services provided, number of clients served, and funding sources.
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