CA LACDMH AOT Candidate Referral Form 2015 free printable template
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CONFIDENTIAL AO TLA LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH (DM) ASSISTED OUTPATIENT TREATMENT CANDIDATE REFERRAL FORM Please fax completed form to (213× 3803680 or email COTTAGE DM.la county.gov
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How to fill out CA LACDMH AOT Candidate Referral Form
How to fill out CA LACDMH AOT Candidate Referral Form
01
Obtain the CA LACDMH AOT Candidate Referral Form from the official website or your local LACDMH office.
02
Fill in the candidate's personal details, including name, address, and contact information.
03
Provide information about the candidate's mental health history and current condition.
04
Include details about any previous treatments or interventions the candidate has received.
05
Indicate the reason for the referral, explaining the candidate's need for AOT services.
06
Attach any supporting documentation that may help in the evaluation process.
07
Review the completed form for accuracy and completeness before submission.
08
Submit the form to the designated AOT program coordinator via mail or email.
Who needs CA LACDMH AOT Candidate Referral Form?
01
Individuals diagnosed with a serious mental illness who are not engaging in treatment.
02
Family members or guardians of individuals requiring assistance in accessing mental health services.
03
Mental health professionals or service providers who are identifying candidates for Assisted Outpatient Treatment.
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What is CA LACDMH AOT Candidate Referral Form?
The CA LACDMH AOT Candidate Referral Form is a document used to refer individuals for the Assisted Outpatient Treatment (AOT) program in Los Angeles County. It serves as a means for mental health professionals and agencies to initiate the process of evaluating individuals who may benefit from AOT services.
Who is required to file CA LACDMH AOT Candidate Referral Form?
The CA LACDMH AOT Candidate Referral Form must be filed by mental health professionals, service providers, or individuals who are aware of a person who may meet the criteria for AOT. This includes case managers, therapists, and other professionals in the mental health field.
How to fill out CA LACDMH AOT Candidate Referral Form?
To fill out the CA LACDMH AOT Candidate Referral Form, you need to provide comprehensive information about the candidate including their personal details, mental health history, current situation, and reasons for the referral. It may also require input from other professionals involved in the candidate's care.
What is the purpose of CA LACDMH AOT Candidate Referral Form?
The purpose of the CA LACDMH AOT Candidate Referral Form is to facilitate the assessment and entry into the AOT program for individuals with serious mental illness who may be unable to adhere to treatment voluntarily. It helps ensure that those who need assistance can receive appropriate support.
What information must be reported on CA LACDMH AOT Candidate Referral Form?
The CA LACDMH AOT Candidate Referral Form must report information such as the candidate's name, contact information, mental health history, current symptoms, treatment history, and any previous interventions. It may also require additional notes on the individual's level of risk and need for AOT services.
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