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PRINTED: 10/13/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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What is printed 1013 form approved?
Printed 1013 form approved is a document used to request court-ordered psychiatric evaluation and treatment for an individual.
Who is required to file printed 1013 form approved?
A qualified mental health professional or law enforcement officer is required to file printed 1013 form approved when they believe an individual is in need of emergency psychiatric evaluation and treatment.
How to fill out printed 1013 form approved?
To fill out printed 1013 form approved, the individual's personal information, reasons for seeking treatment, and observations justifying the need for evaluation must be provided.
What is the purpose of printed 1013 form approved?
The purpose of printed 1013 form approved is to request immediate psychiatric evaluation and treatment for individuals in crisis.
What information must be reported on printed 1013 form approved?
The printed 1013 form approved must include the individual's personal information, details of the crisis situation, and the professional's observations supporting the need for evaluation.
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