PDF
Word
Form DDD-1436A Behavioral Health Professional Consultation Summary - Arizona
What Is Form DDD-1436A?
This is a legal form that was released by the Arizona Department of Economic Security - a government authority operating within Arizona. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the purpose of Form DDD-1436A?
A: The purpose of Form DDD-1436A is to provide a summary of a behavioral health professional consultation.
Q: Who is required to fill out Form DDD-1436A?
A: Behavioral health professionals are required to fill out Form DDD-1436A.
Q: What information does Form DDD-1436A include?
A: Form DDD-1436A includes information on the individual receiving services, the consultation provided, and the recommendations made.
Q: Is Form DDD-1436A specific to Arizona?
A: Yes, Form DDD-1436A is specific to Arizona.
Form Details:
- Released on April 1, 2021;
- The latest edition provided by the Arizona Department of Economic Security;
- 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 DDD-1436A by clicking the link below or browse more documents and templates provided by the Arizona Department of Economic Security.
Download Form DDD-1436A Behavioral Health Professional Consultation Summary - Arizona
1
2
