Client Intake. 23 a) Perform client intake within five (5) business days of the client's referral or 24 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 establish the client’s eligibility, demographic information, and information necessary for federal 26 reporting. 27 b) Provide client with information that includes: client’s rights and 28 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain required documents, including: consent for client information to be entered in 30 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 3 contracts
Samples: Hiv Care Services Agreement, Hiv Care Services Agreement, Agreement for Provision of Hiv Services
Client Intake. 23 4 a) Perform client intake within five (5) business days of the client's referral or 24 5 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 6 establish the client’s eligibility, demographic information, and information necessary for federal 26 7 reporting.
27 8 b) Provide client with information that includes: client’s rights and 28 9 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 10 should also obtain required documents, including: consent for client information to be entered in 30 11 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 12 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 2 contracts
Samples: Hiv Care Services Agreement, Agreement for Provision of Hiv Services
Client Intake. 23 33 a) Perform client intake within five (5) business days of the client's referral or 24 34 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 35 establish the client’s eligibility, demographic information, and information necessary for federal 26 36 reporting.
27 37 b) Provide client with information that includes: client’s rights and 28 1 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 2 should also obtain required documents, including: consent for client information to be entered in 30 3 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 4 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 12 a) Perform client intake within five (5) business days of the client's referral or 24 initial 13 client contact. Client intake shall include gathering of pertinent client information necessary to 25 establish 14 the client’s eligibility, demographic information, and information necessary for federal 26 reporting.
27 15 b) Provide client with information that includes: client’s rights and 28 responsibilities, 16 information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain 17 required documents, including: consent for client information to be entered in 30 Countywide database, 18 consent for treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on 19 the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 18 a) Perform client intake within five (5) business days of the client's referral or 24 19 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 20 establish the client’s eligibility, demographic information, and information necessary for federal 26 21 reporting.
27 22 b) Provide client with information that includes: client’s rights and 28 23 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 24 should also obtain required documents, including: consent for client information to be entered in 30 25 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 26 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 35 a) Perform client intake within five (5) business days of the client's referral or 24 36 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 37 establish the client’s eligibility, demographic information, and information necessary for federal 26 1 reporting.
27 . 2 b) Provide client with information that includes: client’s rights and 28 3 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 4 should also obtain required documents, including: consent for client information to be entered in 30 5 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 6 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 10 a) Perform client screening and intake within five (5) business days of the client's 11 referral or 24 initial client contact. Client intake shall include gathering of pertinent client information demographic information, and information 12 necessary to 25 establish the client’s eligibility, demographic informationincluding client’s HIV status, medical or dental coverage, 13 documentation of income, and information necessary primary residency, as 14 necessary. for federal 26 reporting.
27 15 b) Provide client with information that includes: client’s rights and 28 16 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain required documents, including: consent for client information to be entered 18 in 30 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 19 receipt of information on the grievance process, and releases of information information, as appropriate.
Appears in 1 contract
Client Intake. 23 15 a) Perform client intake within five (5) business days of the client's referral or 24 16 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 17 establish the client’s eligibility, demographic information, and information necessary for federal 26 18 reporting.
27 19 b) Provide client with information that includes: client’s rights and 28 20 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 21 should also obtain required documents, including: consent for client information to be entered in 30 22 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 23 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 11 a) Perform client intake within five (5) business days of the client's referral or 24 initial 12 client contact. Client intake shall include gathering of pertinent client information necessary to 25 establish 13 the client’s eligibility, demographic information, and information necessary for federal 26 reporting.
27 14 b) Provide client with information that includes: client’s rights and 28 responsibilities, 15 information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain 16 required documents, including: consent for client information to be entered in 30 Countywide database, 17 consent for treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on 18 the grievance process, and releases of information as appropriate.
Appears in 1 contract
Samples: Agreement for Provision of Hiv Medical Case Management Care Services
Client Intake. 23 27 a) Perform client intake within five (5) business days of the client's referral or 24 28 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 29 establish the client’s eligibility, demographic information, and information necessary for federal 26 30 reporting.
27 31 b) Provide client with information that includes: client’s rights and 28 32 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain Obtain required 33 documents, including: consent for client information to be entered in 30 Countywide database, consent for 34 treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on the 35 grievance process, and releases of information as appropriate.
Appears in 1 contract
Samples: Agreement for Provision of Hiv Outpatient/Ambulatory Medical Services
Client Intake. 23 32 a) Perform client intake within five (5) business days of the client's referral or 24 33 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 34 establish the client’s eligibility, demographic information, and information necessary for federal 26 35 reporting.
27 36 b) Provide client with information that includes: client’s rights and 28 37 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 1 should also obtain required documents, including: consent for client information to be entered in 30 2 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 3 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 37 a) Perform client intake within five (5) business days of the client's referral or 24 initial 1 client contact. Client intake shall include gathering of pertinent client information necessary to 25 establish 2 the client’s eligibility, demographic information, and information necessary for federal 26 reporting.
27 3 b) Provide client with information that includes: client’s rights and 28 responsibilities, 4 information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain 5 required documents, including: consent for client information to be entered in 30 Countywide database, 6 consent for treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on 7 the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 3 a) Perform client intake within five (5) business days of the client's referral or 24 4 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 5 establish the client’s eligibility, demographic information, and information necessary for federal 26 6 reporting.
27 7 b) Provide client with information that includes: client’s rights and 28 8 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 9 should also obtain required documents, including: consent for client information to be entered in 30 10 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 11 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 25 a) Perform client intake within five (5) business days of the client's referral or 24 26 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 27 establish the client’s eligibility, demographic information, and information necessary for federal 26 28 reporting.
27 29 b) Provide client with information that includes: client’s rights and 28 30 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 31 should also obtain required documents, including: consent for client information to be entered in 30 32 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 33 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 35 a) Perform client intake within five (5) business days of the client's referral or 24 36 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 37 // 1 establish the client’s eligibility, demographic information, and information necessary for federal 26 2 reporting.
27 3 b) Provide client with information that includes: client’s rights and 28 4 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 5 should also obtain required documents, including: consent for client information to be entered in 30 6 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 7 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 1 a) Perform client intake within five (5) business days of the client's referral or 24 2 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 3 establish the client’s eligibility, demographic information, and information necessary for federal 26 4 reporting.
27 5 b) Provide client with information that includes: client’s rights and 28 6 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 7 should also obtain required documents, including: consent for client information to be entered in 30 8 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 9 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 8 a) Perform client intake within five (5) business days of the client's referral or 24 9 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 10 establish the client’s eligibility, demographic information, and information necessary for federal 26 11 reporting.
27 12 b) Provide client with information that includes: client’s rights and 28 13 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 14 should also obtain required documents, including: consent for client information to be entered in 30 15 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 16 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 10 a) Perform client intake within five (5) business days of the client's referral or 24 11 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 12 establish the client’s eligibility, demographic information, and information necessary for federal 26 13 reporting.
27 14 b) Provide client with information that includes: client’s rights and 28 15 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 should also obtain Obtain required 16 documents, including: consent for client information to be entered in 30 Countywide database, consent for 17 treatment form, signed receipt of rights and responsibilities, signed 31 receipt of information on the 18 grievance process, and releases of information as appropriate.
Appears in 1 contract
Samples: Agreement for Provision of Hiv Outpatient/Ambulatory Medical Services
Client Intake. 23 28 a) Perform client intake within five (5) business days of the client's referral or 24 29 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 30 establish the client’s eligibility, demographic information, and information necessary for federal 26 31 reporting.
27 32 b) Provide client with information that includes: client’s rights and 28 33 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 34 should also obtain required documents, including: consent for client information to be entered in 30 35 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 36 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract
Client Intake. 23 12 a) Perform client intake within five (5) business days of the client's referral or 24 13 initial client contact. Client intake shall include gathering of pertinent client information necessary to 25 14 establish the client’s eligibility, demographic information, and information necessary for federal 26 15 reporting.
27 16 b) Provide client with information that includes: client’s rights and 28 17 responsibilities, information about filing a grievance, and notice of privacy practices. The case manager 29 18 should also obtain required documents, including: consent for client information to be entered in 30 19 Countywide database, consent for treatment form, signed receipt of rights and responsibilities, signed 31 20 receipt of information on the grievance process, and releases of information as appropriate.
Appears in 1 contract