Crawfordcohd.org

COMMUNITY MENTAL HEALTH CENTER OF CRAWFORD …

WebRev. 4/6/04 15. You have the right to exercise your rights by substitute means, including the use of advance directives, a living will, a durable power of attorney for health care …

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URL: http://www.crawfordcohd.org/PDFs/Consumer%20Rights.pdf

COMMUNITY MENTAL HEALTH CENTER OF CRAWFORD …

WebCOMMUNITY MENTAL HEALTH CENTER OF CRAWFORD COUNTY 911 E. Centennial Pittsburg, KS 66762 Phone: 620-231-5130 Fax: 620-235-7101 AUTHORIZATION FOR …

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Community Mental Health Center of Crawford County

WebMental Status: Orientation: Oriented x 4 Impaired person Impaired place Impaired time Impaired situation General Appearance: Appropriate Hygiene/Dress Poor hygiene …

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THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION …

Web2 Inspect and Copy Your Records. You have the right to inspect and obtain a copy of certain health information that may be used to make decisions

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Web Server's Default Page

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Consent for Treatment

WebClient Name: Date: Medicaid Number: Effective Date: Medicare Number: Effective Date: Insurance Carrier: Effective Date: Policy Number: Group Number:

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InHome Family Treatment (H2011) Screening Instrument Ver.

WebInHome Family Treatment (H2011) Screening Instrument (Ver. 1/2007) Page 2 8. Please explain why InHome Family Treatment is believed to be the most effective treatment …

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