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Ibhis
Found 3 free book(s)CHART REVIEW TOOL For use by Directly-Operated Agencies …
psbqi.dmh.lacounty.govCHART REVIEW TOOL For use by Directly-Operated Agencies in IBHIS Page 2 Los Angeles County Department of Mental Health Office of Performance Data QA Division Revised 12/19/2017
Pre-Authorization for FHSU 09.21.17 (excel)
file.lacounty.govPlease DO NOT begin completing an application packet until you receive approval from FHSU. Client Information (please print) IS/IBHIS Number: Date: Date of Birth: Social Security Number: Sex:
recent INDIVIDUAL COMPLETING REFERRAL
file.lacounty.govCONFIDENTIAL LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH ASSISTED OUTPATIENT TREATMENT (AOT) CANDIDATE REFERRAL FORM *Please note that the AOT Program does not have the authority to mandate medication or involuntary long-term