Form 04MP036E Authorization for Psychotropic Medication - Oklahoma

Form 04MP036E Authorization for Psychotropic Medication - Oklahoma

What Is Form 04MP036E?

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.

FAQ

Q: What is Form 04MP036E?
A: Form 04MP036E is the Authorization for Psychotropic Medication form in Oklahoma.

Q: What is the purpose of Form 04MP036E?
A: The purpose of Form 04MP036E is to obtain authorization for the use of psychotropic medication.

Q: Who needs to fill out Form 04MP036E?
A: This form needs to be filled out by a licensed physician or other authorized prescriber.

Q: What information is required on Form 04MP036E?
A: Form 04MP036E requires information about the patient, prescriber, medication details, and justification for the use of psychotropic medication.

Q: Is there a fee for submitting Form 04MP036E?
A: No, there is no fee for submitting Form 04MP036E.

Q: Who should I contact for more information about Form 04MP036E?
A: For more information about Form 04MP036E, you can contact the Oklahoma Department of Mental Health and Substance Abuse Services.

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Form Details:

  • Released on February 1, 2011;
  • The latest edition provided by the Oklahoma 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 printable version of Form 04MP036E by clicking the link below or browse more documents and templates provided by the Oklahoma Department of Human Services.

Download Form 04MP036E Authorization for Psychotropic Medication - Oklahoma

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