Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall ensure 28 that all persons admitted for residential treatment services have a health questionnaire completed using 29 form DHCS 5103, or may develop their own form provided it contains, at a minimum, the information 30 requested in the DHCS 5103 form:
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Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall 35 ensure 28 that all persons admitted for residential treatment services Residential Treatment Services have a health questionnaire completed 36 using 29 form DHCS 51035103 form, or may develop their own form provided it contains, at a minimum, the 37 information 30 requested in the DHCS 5103 form:.
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall ensure 28 36 that all persons admitted for residential treatment Residential Treatment services have a health questionnaire completed using 29 37 // 1 form DHCS 51035103 form, or may develop their own form provided it contains, at a minimum, the 2 information 30 requested in the DHCS 5103 form:.
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall ensure 28 29 that all persons admitted for residential treatment services have a health questionnaire completed using 29 30 form DHCS 5103, or may develop their own form provided it contains, at a minimum, the information 30 31 requested in the DHCS 5103 form:
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall 1 ensure 28 that all persons admitted for residential treatment services Residential Treatment Services have a health questionnaire completed 2 using 29 form DHCS 51035103 form, or may develop their own form provided it contains, at a minimum, the 3 information 30 requested in the DHCS 5103 form:.
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall ensure 28 31 that all persons admitted for residential treatment services have a health questionnaire completed using 29 32 form DHCS 5103, or may develop their own form provided it contains, at a minimum, the information 30 33 requested in the DHCS 5103 form:
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall ensure 28 34 that all persons admitted for residential treatment Residential Treatment services have a health questionnaire completed using 29 35 form DHCS 51035103 form, or may develop their own form provided it contains, at a minimum, the 36 information 30 requested in the DHCS 5103 form:. 37 //
Appears in 1 contract
Samples: Agreement
Health, Medical, Psychiatric and Emergency Services. CONTRACTOR shall 34 ensure 28 that all persons admitted for residential treatment services Residential Treatment Services have a health questionnaire completed 35 using 29 form DHCS 51035103 form, or may develop their own form provided it contains, at a minimum, the 36 information 30 requested in the DHCS 5103 form:.
Appears in 1 contract
Samples: Agreement