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OKLAHOMA DEPARTMENT OF CORRECTIONS MENTAL HEALTH TRANSFER REQUEST Date: Time: Requesting Facility: Requesting MHP: Inmate Name: DOC #: Security Level: Halfway House Community Minimum Medium MaximumCurrent
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How to fill out mental health transfer request

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How to fill out mental health transfer request

01
To fill out a mental health transfer request, follow these steps:
02
Start by obtaining the mental health transfer request form from your current mental health provider or treatment facility.
03
Fill out your personal information, including your full name, date of birth, and contact information.
04
Provide details about your current mental health diagnosis and the treatment you have been receiving.
05
Indicate the reason for your transfer request and explain why you believe a transfer is necessary for your mental health care.
06
If you have a preferred mental health provider or treatment facility for the transfer, include their contact information and location.
07
Attach any supporting documents, such as medical records or recommendation letters from healthcare professionals, that support your transfer request.
08
Double-check all the information you have provided and ensure it is accurate and complete.
09
Submit the completed mental health transfer request form to your current mental health provider or treatment facility.
10
Follow up with your provider or facility to ensure they have received your transfer request and to inquire about the next steps in the process.
11
Be prepared to provide any additional information or attend appointments as required to facilitate the transfer of your mental health care.

Who needs mental health transfer request?

01
Anyone who feels the need for a change in their mental health care provider or treatment facility may need a mental health transfer request. This can include individuals who are dissatisfied with their current provider, seeking specialized care, or relocating to a different area where they require a new mental health provider. The need for a mental health transfer request varies from person to person based on individual circumstances and preferences.
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A mental health transfer request is a formal request made to transfer a patient to a different mental health facility or healthcare provider.
The patient's current healthcare provider or caregiver is required to file a mental health transfer request.
To fill out a mental health transfer request, the healthcare provider or caregiver must provide the patient's personal information, medical history, reason for transfer, and any necessary documentation.
The purpose of a mental health transfer request is to ensure a smooth and safe transition of care for the patient to a different mental health facility or healthcare provider.
The mental health transfer request must include the patient's name, date of birth, contact information, current mental health diagnosis, reason for transfer, and any relevant medical records.
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