CA MH 713 2019-2025 free printable template
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ADULT REASSESSMENT MH 713 Revised 7/1/19Page 1 of 5Purpose: Biannual Returning to TreatmentDate Reassessment Started: ASSESSING PRACTITIONER (Name and Discipline): Date of clients Full Assessment
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How to fill out CA MH 713
01
Obtain the CA MH 713 form from the appropriate health authority or website.
02
Carefully read the instructions accompanying the form to understand the requirements.
03
Fill out your personal information, including your name, address, and contact details in the designated fields.
04
Provide details regarding your mental health history as requested on the form.
05
Answer any additional questions or sections specific to your situation.
06
Review the completed form to ensure all information is accurate and complete.
07
Sign and date the form where indicated.
08
Submit the form to the appropriate agency or office as instructed.
Who needs CA MH 713?
01
Individuals seeking mental health services or evaluations in California.
02
Mental health professionals and providers who need to document a patient's information.
03
Individuals applying for specific mental health programs or benefits.
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What is CA MH 713?
CA MH 713 is a specific form used in the state of California for reporting certain information related to mental health services and expenditures.
Who is required to file CA MH 713?
Entities that provide mental health services in California, including counties, mental health programs, and certain organizations, are required to file CA MH 713.
How to fill out CA MH 713?
To fill out CA MH 713, entities should gather required data on mental health services, follow the specific instructions provided with the form, and ensure all sections are completed accurately before submission.
What is the purpose of CA MH 713?
The purpose of CA MH 713 is to collect data on mental health services provided, expenditures related to these services, and to help monitor and improve mental health programs in California.
What information must be reported on CA MH 713?
CA MH 713 requires reporting information such as service type, demographics of individuals served, program costs, funding sources, and outcomes achieved.
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