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Attachment C to I.E.PR.006Connecticut Department of Developmental Services
HRC Consent for Treatment for Presentation
Psychotropic MedicationRestrictive ProgramPresedation MedicationName:
DDS #
DOB:
Address:
Agency/Facility:
Medication
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What is connecticut department of mental?
The Connecticut Department of Mental Health and Addiction Services (DMHAS) is responsible for providing a range of services to promote the emotional health and well-being of individuals.
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Certain healthcare providers, facilities, and organizations in Connecticut are required to file the department of mental health reports.
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The department of mental reports can be filled out online through the DMHAS website or submitted via mail.
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The purpose of the Connecticut department of mental is to gather data on mental health and addiction services provided in the state.
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Information such as the number of individuals served, types of services provided, and outcomes of the services must be reported on the department of mental form.
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