This is a legal form that was released by the Connecticut Department of Mental Health & Addiction Services - a government authority operating within Connecticut. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 201 DMHAS ABI Consultation Referral Form?
A: It is a form used in Connecticut for referring individuals with Acquired Brain Injury (ABI) for consultation services.
Q: Who can use Form 201 DMHAS ABI Consultation Referral Form?
A: Healthcare professionals and service providers in Connecticut who are referring individuals with ABI for consultation services.
Q: What is the purpose of Form 201 DMHAS ABI Consultation Referral Form?
A: The form is used to initiate the referral process for individuals with ABI and request consultation services from the Connecticut Department of Mental Health and Addiction Services (DMHAS).
Q: Is there a deadline for submitting Form 201 DMHAS ABI Consultation Referral Form?
A: The form should be submitted as soon as possible to initiate the referral process, but there is no specific deadline mentioned.
Form Details:
Download a printable version of Form 201 by clicking the link below or browse more documents and templates provided by the Connecticut Department of Mental Health & Addiction Services.