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FREQUENTLY USED FORMS


Most of the following forms are available in three formats.

"MS Word Document" format is designed for Microsoft Word users. Clicking on this link allows users to fill out forms using their personal computers and save them as .DOC files. Forms can then either be kept on your hard drive or e-mailed to CBH as attachments.

The "RTF Document" format is designed for non-Microsoft Word users. This version also allows users to fill out forms using their personal computers, and save them as .RTF files, which will open in a variety of other programs, as well as Microsoft Word. This format as well allows users to save forms on their hard drive or attach them to e-mail.

The "Adobe PDF Document" format is an Adobe Acrobat Reader format. This version can only be viewed online and is not designed to be filled out electronically. Forms can be printed from a personal computer, filled out manually, and mailed to CBH.

To save a file to your hard drive, right-click on the link and choose "Save target as," or "Save link as." For Macintosh users, simply click and hold your mouse button and choose the similar "Save as" options.


CBH Authorization Correction Form

MS Excel Format | Adobe PDF Document

Behavioral Health Rehabilitative Services Packet Submission
Cover Letter (revision issued 08/07)

MS Word Document | Adobe PDF Document

BHS Review Form for Intensive Outpatient (D&A) - Adult
MS Word Document | RTF Document | Adobe PDF Document

BHS Case Open Form
MS Word Document | RTF Document | Adobe PDF Document

CBH Intensive Outpatient (D&A) Service Request Form
MS Word Document | RTF Document | Adobe PDF Document

Residential Treatment Facility Packet Submission Cover Letter
MS Word Document Adobe PDF Document

EPSDT Review Notification
MS Word Document | RTF Document | Adobe PDF Document

Interagency Team Meeting Notification Form
MS Word Document | Adobe PDF Document

Significant Incident Report (revision issued 9/1/07)
Adobe PDF Document

BHRS Notification Form
MS Word Document | RTF Document | Adobe PDF Document

BHRS Request Form
MS Word Document | RTF Document | Adobe PDF Document

BHR Services Report
MS Excel Template

SBBH Census - Discharges - Staffing Form
MS Excel

Psychological Testing Pre-Authorization Request Form
MS Word Document | RTF Document | Adobe PDF Document

Family Based Services Packet Submission Cover Letter
MS Word Document | Adobe PDF Document

Child/Adolescent Family Based Services Referral Form
MS Word Document | Adobe PDF Document

Family Based Clinical 60 Day Review Form
MS Word Document | Adobe PDF Document

Family Based Discharge Summary
MS Word Document | Adobe PDF Document

 

 

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