Form DHS-5704A-ENG Child / Adolescent Diagnostic Assessment - Part I: Parent / Caregiver - Minnesota

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What Is Form DHS-5704A-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 the DHS-5704A-ENG?
A: The DHS-5704A-ENG is a Child/Adolescent Diagnostic Assessment form.

Q: What is the purpose of DHS-5704A-ENG?
A: The purpose of DHS-5704A-ENG is to gather information about a child or adolescent's mental health.

Q: Who is required to fill out the DHS-5704A-ENG?
A: Parents or caregivers are required to fill out the DHS-5704A-ENG form.

Q: What is Part I of the DHS-5704A-ENG for?
A: Part I of the DHS-5704A-ENG is specifically for parents or caregivers to complete.

Q: What information is collected in Part I of the DHS-5704A-ENG?
A: Part I of the DHS-5704A-ENG collects information about the child or adolescent's background, behaviors, and symptoms.

Q: Is the DHS-5704A-ENG specific to Minnesota?
A: Yes, the DHS-5704A-ENG is specifically designed for use in Minnesota.

Form Details:

Released on January 1, 2014;
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-5704A-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.