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IN THE DISTRICT COURT OF COUNTY, STATE OF UTAH IN THE MATTER OF ORDER FOR COMMITMENT AND/ OR DETENTION PENDING HEARING AND/OR EXAMINATION Proposed Patient (Full Name) Case No. Date of Birth Social
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Form 36-5 - dsamh is a document used for reporting financial information related to mental health services.
Healthcare facilities and providers who offer mental health services are required to file form 36-5 - dsamh.
Form 36-5 - dsamh should be filled out by providing accurate financial information related to mental health services as per the instructions provided.
The purpose of form 36-5 - dsamh is to track and report financial data on mental health services for regulatory and compliance purposes.
Information such as revenue, expenses, patient demographics, and types of services provided must be reported on form 36-5 - dsamh.
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2013 UTAH 62A-15-631 DSAMH Annotated undersigned pursuant involuntary requiring Revised JUDICIAL ENDORSEMENT accordance provisions poses

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