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PROF Admission Assessment×PA#:Name: RID#: DOB:Please answer or list the following information: 1. Current DSM Diagnoses on Axes I & II within the USED criteria as specified by DMCA/Medicaid a. b.
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The prtfadmission form final 05-10-2013 is needed by individuals who are seeking admission into a PRTF (Psychiatric Residential Treatment Facility). This form is often required as part of the application process and provides essential information about the individual's personal and educational background, as well as their work experience and any additional qualifications or certifications they may have. The form helps the facility assess the individual's eligibility for admission and determine the most appropriate treatment plan for their specific needs.
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