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DATE AND TIME STAMPPREAPPLICATION FOR HOUSING
OFFICE: 203.359.6940
FAX: 203.373.7589
WEB: WWW.CTHOUSINGPARTNERS. Reapplication Entered By:
Application Entered On:Name and Mailing Address of Head
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02
Obtain the application form from the designated authority.
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Read the instructions carefully before you start filling out the form.
04
Provide accurate personal information such as name, address, contact details, etc.
05
Answer all the questions on the form accurately and honestly.
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Make sure to fill out all the mandatory fields marked with an asterisk (*).
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Who needs mhaswct application form?
01
The mhaswct application form is required by individuals who are seeking assistance or support from the mhaswct program. This form is typically needed by those who are facing mental health or addiction issues and are seeking treatment, rehabilitation, or other related services provided by the program. The form helps the program identify and assess the needs of the individuals and determine their eligibility for the services offered.
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What is mhaswct application form?
The mhaswct application form is a form used to apply for the Mental Health and Substance Use Disorder Services for Children and Teens program.
Who is required to file mhaswct application form?
Parents or legal guardians of children and teens who need mental health and substance use disorder services are required to file the mhaswct application form.
How to fill out mhaswct application form?
To fill out the mhaswct application form, parents or legal guardians need to provide information about their child's or teen's mental health and substance use disorder issues, as well as their own contact information and insurance details.
What is the purpose of mhaswct application form?
The purpose of the mhaswct application form is to assess the eligibility of children and teens for mental health and substance use disorder services and to connect them with appropriate resources and support.
What information must be reported on mhaswct application form?
Information such as the child's or teen's mental health and substance use disorder symptoms, treatment history, current medications, and any previous diagnoses must be reported on the mhaswct application form.
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