PA DBHIDS Integrated Intake Application Packet - City of Philadelphia 2016 free printable template
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CITY OF PHILADELPHIA DIVISION OF SOCIAL SERVICES DEPARTMENT OF BEHAVIORAL HEALTH AND INTELLECTUAL disability SERVICES BIDS INTEGRATED INTAKE APPLICATION PACKET The Department of Behavioral Health
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How to fill out PA DBHIDS Integrated Intake Application Packet
How to fill out PA DBHIDS Integrated Intake Application Packet
01
Gather all necessary personal information including name, address, and contact details.
02
Complete the demographic information section by providing details such as age, gender, and ethnicity.
03
Fill out the section regarding your insurance information, if applicable.
04
Provide a brief medical history, including any past or present diagnoses.
05
Complete emergency contact information.
06
Answer questions regarding mental health and substance use, if applicable.
07
Review the application for completeness and accuracy.
08
Submit the application packet to your designated service provider.
Who needs PA DBHIDS Integrated Intake Application Packet?
01
Individuals seeking mental health or substance use services in Pennsylvania.
02
Families or caregivers of individuals requiring support services.
03
Professionals assisting clients with accessing behavioral health resources.
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What is PA DBHIDS Integrated Intake Application Packet?
The PA DBHIDS Integrated Intake Application Packet is a comprehensive set of forms and documents used in Pennsylvania for individuals seeking mental health or drug and alcohol services. It collects necessary information to determine eligibility and facilitate access to services.
Who is required to file PA DBHIDS Integrated Intake Application Packet?
Individuals seeking mental health or substance use treatment services through the Pennsylvania Department of Human Services are required to file the PA DBHIDS Integrated Intake Application Packet.
How to fill out PA DBHIDS Integrated Intake Application Packet?
To fill out the PA DBHIDS Integrated Intake Application Packet, individuals should carefully follow the instructions provided in the packet, complete all required sections with accurate and relevant personal information, and submit the completed forms to the appropriate service provider or agency.
What is the purpose of PA DBHIDS Integrated Intake Application Packet?
The purpose of the PA DBHIDS Integrated Intake Application Packet is to gather essential information needed to assess an individual's need for services, to determine eligibility, and to plan appropriate treatment or support services.
What information must be reported on PA DBHIDS Integrated Intake Application Packet?
The PA DBHIDS Integrated Intake Application Packet must include personal identifying information, contact details, insurance information, medical history, details about the individual's current situation and needs, and any other relevant data needed to evaluate service eligibility.
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