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Form F-11047 Certification of Need for Elective / Urgent Psychiatric / Substance Abuse Admissions to Hospital Institutions for Mental Disease for Members Under Age 21 - Wisconsin
What Is Form F-11047?
This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form F-11047?
A: Form F-11047 is a Certification of Need for Elective/Urgent Psychiatric/Substance Abuse Admissions to Hospital Institutions for Mental Disease for Members Under Age 21 in Wisconsin.
Q: Who is this form for?
A: This form is for individuals under the age of 21 who require elective/urgent psychiatric/substance abuse admissions to hospital institutions for mental disease in Wisconsin.
Q: What is the purpose of this form?
A: The purpose of this form is to certify the need for elective/urgent psychiatric/substance abuse admissions for individuals under the age of 21 in Wisconsin.
Q: Do I need to fill out this form for elective/urgent psychiatric/substance abuse admissions?
A: Yes, this form is required to certify the need for elective/urgent psychiatric/substance abuse admissions for individuals under the age of 21 in Wisconsin.
Form Details:
- Released on February 1, 2009;
- The latest edition provided by the Wisconsin Department of Health 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 F-11047 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.
