Form DHS-5704B-ENG Child / Adolescent Diagnostic Assessment - Part II: Provider - Minnesota

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What Is Form DHS-5704B-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form DHS-5704B-ENG?
A: Form DHS-5704B-ENG is a Child/Adolescent Diagnostic Assessment form.

Q: What is the purpose of Form DHS-5704B-ENG?
A: The purpose of Form DHS-5704B-ENG is to gather information about the child or adolescent to aid in diagnosing and treating their mental health condition.

Q: Who is the provider of Form DHS-5704B-ENG?
A: The provider of Form DHS-5704B-ENG is the mental health professional conducting the diagnostic assessment.

Q: Is Form DHS-5704B-ENG specific to Minnesota?
A: Yes, Form DHS-5704B-ENG is specific to Minnesota.

Q: What is Part II of Form DHS-5704B-ENG?
A: Part II of Form DHS-5704B-ENG is the section for the provider to complete.

Q: What information does Part II of Form DHS-5704B-ENG collect?
A: Part II of Form DHS-5704B-ENG collects information about the provider, including their contact information and professional qualifications.

Q: Can Form DHS-5704B-ENG be used for adults?
A: No, Form DHS-5704B-ENG is specifically designed for children and adolescents.

Form Details:

Released on March 1, 2016;
The latest edition provided by the Minnesota Department of Human Services;
Easy to use and ready to print;
Quick to customize;
Compatible with most PDF-viewing applications;
Fill out the form in our online filing application.

Download a fillable version of Form DHS-5704B-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.