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Final PDF 2016 Record Guide for Distribution

Department of Mental Health Record Guide For Mental Health, Intellectual and Developmental Disabilities, and Substance Use Disorders Community Providers 2016 Revision Mississippi Department of Mental Health Diana S. Mikula, Executive Director 239 North Lamar Suite 1101 Jackson, MS 39201 DMH Record Guide Contents i TABLE OF CONTENTS Section A General Information Page 1 Section B All Records Page 5 Face Sheet Consent to Receive Services Rights of Individuals Receiving Services Acknowledgment of Grievance Procedures Consent to Release/Obtain Information Medication/Emergency Contact Information Section C Required for All Mental Health and Substance Use Page 21 Records Initial Assessment Trauma History Indi

The Record Guide is divided into sections that allow the user to identify those forms or data tools required f or all individual records, those that are used when the circumstances of the individual receiving services dictates their use, those that are specific to an area of service,

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