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NC DIVISION MH/DD/SAS SUBSTANCE ABUSE (SATB) FUNDS INDIVIDUAL 2013 / 2014 LME/MCO: Date: Contract Provider: Admission Date: Control #: Gender: Category: Record #: Rating Codes: 0 No 1 Yes 9 N/A Rating
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How to fill out nc division mhddsas substance
How to fill out NC division MHDDSAS substance:
01
Gather all necessary information and documentation such as the individual's personal details, medical history, and any relevant treatment plans or assessments.
02
Begin by filling out the basic identification information, including the individual's name, date of birth, and contact information.
03
Provide any information related to the individual's primary care physician or referring provider.
04
Identify the specific substance for which the individual is seeking treatment or assistance.
05
Specify the level of care needed, whether it is outpatient, inpatient, or residential treatment.
06
Provide any information regarding previous treatment experiences or programs attended.
07
Include any relevant diagnostic information, such as a diagnosis of substance use disorder or any co-occurring mental health conditions.
08
Detail any current medications or medications that have been discontinued recently.
09
Indicate the reasons for seeking substance abuse services and any specific goals or outcomes desired.
10
Sign and date the form, making sure to provide any necessary authorizations or consents.
Who needs NC division MHDDSAS substance:
01
Individuals who are struggling with substance abuse or addiction.
02
Those seeking support, treatment, or assistance for themselves or a loved one with a substance use disorder.
03
Professionals or organizations involved in providing substance abuse services, such as clinics, treatment centers, or counseling agencies.
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Medical professionals, including primary care physicians, psychiatrists, or therapists, who may need to refer patients for substance abuse treatment.
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Family members or friends of individuals struggling with substance abuse who are seeking resources or guidance from the NC division MHDDSAS.
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What is nc division mhddsas substance?
NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services Substance Use Disorders (MHDDSAS) is a division within the North Carolina Department of Health and Human Services that oversees substance use prevention, treatment, and recovery services.
Who is required to file nc division mhddsas substance?
Providers of substance use disorder services in North Carolina are required to file reports with the NC Division of MHDDSAS.
How to fill out nc division mhddsas substance?
Providers can fill out the NC Division of MHDDSAS Substance Use Disorders reporting forms online through the division's website.
What is the purpose of nc division mhddsas substance?
The purpose of the NC Division of MHDDSAS Substance Use Disorders reporting is to track and monitor substance use services and outcomes in North Carolina.
What information must be reported on nc division mhddsas substance?
Providers are required to report data on the individuals served, services provided, and outcomes of substance use disorder treatment.
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