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COUNTYOFLOSANGELES DepartmentofHumanResources OccupationalHealthPrograms PsychologicalServicesUnit Phone:2137384200 Fax:2136370822 REQUESTINGAREEXAMINATIONAND/ORREVIEWOFALLFINDINGS PREEMPLOYMENT/POSTOFFERPSYCHOLOGICALDETERMINATION

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How to fill out ohp pepo psych interim

01

To fill out the OHP PEPO Psych Interim form, follow these steps:

02

Obtain the OHP PEPO Psych Interim form from the appropriate source.

03

Fill in your personal information, such as name, date of birth, and contact information in the designated fields.

04

Provide details about your mental health condition, symptoms, and any previous treatment you have received.

05

Answer all the questions on the form truthfully and accurately.

06

If applicable, include information about any medications you are currently taking or have taken in the past for your mental health condition.

07

Sign and date the form to indicate your consent and agreement with the information provided.

08

Once completed, submit the form to the authorized recipient or follow the instructions for submission as specified.

09

Note: It is always recommended to consult with a healthcare professional or refer to specific guidelines provided by the relevant organization for accurate and up-to-date instructions on filling out the OHP PEPO Psych Interim form.

Who needs ohp pepo psych interim?

01

The OHP PEPO Psych Interim form is typically needed by individuals seeking mental health services covered by the Oregon Health Plan (OHP) or a similar healthcare program. It may be required for new patients, those requesting additional or specialized mental health treatments, or individuals undergoing a reevaluation of their current treatment plan. It is important to consult with the healthcare provider or insurance provider to determine if the OHP PEPO Psych Interim form is necessary for your specific situation.

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What is ohp pepo psych interim?

The OHP PEPO Psych Interim is a form used to report psychiatric services provided through the Oregon Health Plan.

Who is required to file ohp pepo psych interim?

Healthcare providers who provide psychiatric services through the Oregon Health Plan are required to file the OHP PEPO Psych Interim.

How to fill out ohp pepo psych interim?

The OHP PEPO Psych Interim can be filled out online through the Oregon Health Authority's website or submitted via mail with the required information.

What is the purpose of ohp pepo psych interim?

The purpose of the OHP PEPO Psych Interim is to track and report psychiatric services provided to Oregon Health Plan members.

What information must be reported on ohp pepo psych interim?

Providers must report details of the psychiatric services provided, including dates of service, type of service, and any relevant diagnosis codes.

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