CA MH 690 - Los Angeles 2010 free printable template
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Form MH #690 Rev. 1/05/2010-Page 1 of 2 COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH OUTCOMES MEASURES APPLICATION Adult 3Month (3M) Age Group: 2659 ADMINISTRATIVE INFORMATION Client ID Client
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How to fill out CA MH 690 - Los Angeles
How to fill out CA MH 690 - Los Angeles
01
Obtain a copy of the CA MH 690 form, either online or from a mental health facility.
02
Fill in your personal information, including full name, date of birth, and address in the designated sections.
03
Provide any relevant medical history, including previous mental health treatment, if applicable.
04
Complete sections related to current mental health status and any symptoms you are experiencing.
05
Sign and date the form to certify that the information provided is accurate.
Who needs CA MH 690 - Los Angeles?
01
Individuals seeking mental health services in Los Angeles.
02
Those applying for mental health evaluations or treatment through state programs.
03
Patients who have been referred for mental health assessments by healthcare providers.
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People Also Ask about
What is a MH 2 in Hawaii?
MH-2 A licensed physician, psychologist, attorney, member of the clergy, health or social service professional or any state or county employee in the course of his employment may apply to the court for an ex parte' (one-sided) order directing that a police officer or other suitable individual take a person into custody
What is a 301 commitment in PA?
Section 301. Persons Who May be Subject to Involuntary Emergency Examination and Treatment. Section 302. Involuntary Emergency Examination and Treatment Authorized by a Physician - Not to Exceed One Hundred Twenty Hours.
How do you have someone committed in Maine?
A person can be involuntarily hospitalized on a blue paper if the person has a mental illness and, due to that illness, there is: a substantial risk of harm to that person or others, or a reasonable certainty that the person will suffer severe physical or mental injury or impairment.
Can you commit someone to a mental hospital in PA?
A 302 commitment in Pennsylvania is an involuntary commitment for psychiatric placement at an inpatient psychiatric unit. In order for a person to be considered for a 302 commitment, a person must meet one of the following criteria within the past 30 days: Imminent risk of danger to themselves or others.
Does MH mean mental health?
MH/SA stands for Mental Health and Substance Abuse.
How do I get someone involuntarily committed in Pennsylvania?
The person must pose a “clear and present danger” to self or others based upon statements and behavior that occurred in the past 30 days. There are two parts to a 302: evaluation and admission. Any person (including police and doctors) can petition or request an involuntary psychiatric evaluation for another person.
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What is CA MH 690 - Los Angeles?
CA MH 690 is a form used in Los Angeles for reporting mental health treatment services provided to individuals. It serves as an important tool for tracking and managing mental health care in the region.
Who is required to file CA MH 690 - Los Angeles?
Mental health service providers in Los Angeles who deliver services funded by the state or local mental health programs are required to file CA MH 690.
How to fill out CA MH 690 - Los Angeles?
To fill out CA MH 690, service providers must enter required information about the client, services provided, dates of service, and clinician details following the guidelines provided by the local mental health authority.
What is the purpose of CA MH 690 - Los Angeles?
The purpose of CA MH 690 is to collect and report data on mental health service utilization to inform policy decisions, allocate resources appropriately, and ensure accountability of mental health programs.
What information must be reported on CA MH 690 - Los Angeles?
CA MH 690 must report information such as client demographics, service dates, types of services provided, clinician details, and any relevant outcomes related to the mental health treatment provided.
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