This version of the form is not currently in use and is provided for reference only. Download this version of Form CS-0628 for the current year.
This is a legal form that was released by the Tennessee Department of Children's Services - a government authority operating within Tennessee. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CS-0628?
A: Form CS-0628 is a prior approval form for prescribing psychotropic medication in Tennessee.
Q: Who needs to use Form CS-0628?
A: Healthcare providers who want to prescribe psychotropic medication in Tennessee need to use Form CS-0628.
Q: What is the purpose of Form CS-0628?
A: The purpose of Form CS-0628 is to obtain prior approval for prescribing psychotropic medication in Tennessee.
Q: What information is required on Form CS-0628?
A: Form CS-0628 requires information such as patient details, medication information, and clinical justifications for prescribing psychotropic medication.
Q: Are there any fees associated with Form CS-0628?
A: No, there are no fees associated with submitting Form CS-0628.
Q: How long does it take to get approval after submitting Form CS-0628?
A: The approval process for Form CS-0628 can take up to 15 business days.
Q: What happens if Form CS-0628 is not approved?
A: If Form CS-0628 is not approved, the healthcare provider will need to follow alternative treatment options or submit additional documentation for reconsideration.
Form Details:
Download a fillable version of Form CS-0628 by clicking the link below or browse more documents and templates provided by the Tennessee Department of Children's Services.