Form DHS-4159-ENG Ctss Authorization Form - Minnesota

Form DHS-4159-ENG Ctss Authorization Form - Minnesota

What Is Form DHS-4159-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-4159-ENG?
A: Form DHS-4159-ENG is the Ctss Authorization Form.

Q: What is Ctss?
A: Ctss stands for Children's Therapeutic Services and Supports, a program in Minnesota that provides mental health services to children with emotional or behavioral disorders.

Q: Who needs to fill out Form DHS-4159-ENG?
A: Form DHS-4159-ENG needs to be filled out by individuals or organizations requesting or authorizing Ctss services for a child.

Q: What information is required on Form DHS-4159-ENG?
A: Form DHS-4159-ENG requires information about the child, the authorized services, and the person or organization authorizing the services.

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Form Details:

  • Released on June 1, 2017;
  • 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-4159-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-4159-ENG Ctss Authorization Form - Minnesota

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