This version of the form is not currently in use and is provided for reference only. Download this version of Form 04AF013E for the current year.
This is a legal form that was released by the Oklahoma Department of Human Services - a government authority operating within Oklahoma. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form 04AF013E?
A: Form 04AF013E is a reference letter for adult behavioral health in Oklahoma.
Q: Who needs to fill out Form 04AF013E?
A: This form needs to be filled out by someone providing a reference for an adult behavioral health patient in Oklahoma.
Q: What is the purpose of Form 04AF013E?
A: The purpose of this form is to gather information about the patient's behavioral health status from their reference.
Q: What information is needed on Form 04AF013E?
A: The form typically requires information about the reference, the patient's behavioral health history, and any treatment or services received.
Q: Is Form 04AF013E confidential?
A: Yes, the information provided on this form is confidential and protected by state and federal privacy laws.
Q: What should I do if I have questions about Form 04AF013E?
A: If you have questions about this form, you can contact the Oklahoma Department of Mental Health and Substance Abuse Services for assistance.
Form Details:
Download a fillable version of Form 04AF013E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.