Form F-00380 Outpatient Mental Health Clinic Certification Withdrawal - Wisconsin

Form F-00380 Outpatient Mental Health Clinic Certification Withdrawal - Wisconsin

What Is Form F-00380?

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-00380?
A: Form F-00380 is a form used for the certification withdrawal of an outpatient mental health clinic in Wisconsin.

Q: What does outpatient mental health clinic certification withdrawal mean?
A: Outpatient mental health clinic certification withdrawal refers to the process of removing the certification of a mental health clinic that provides services on an outpatient basis.

Q: Who uses Form F-00380?
A: Form F-00380 is used by outpatient mental health clinics in Wisconsin that wish to withdraw their certification.

Q: How do I fill out Form F-00380?
A: You need to provide the required information and follow the instructions provided on the form to fill it out correctly.

Q: What happens after submitting Form F-00380?
A: After submitting Form F-00380, the Wisconsin Department of Health Services will process the withdrawal request and update the certification status of the outpatient mental health clinic accordingly.

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Form Details:

  • Released on March 1, 2011;
  • 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 printable version of Form F-00380 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-00380 Outpatient Mental Health Clinic Certification Withdrawal - Wisconsin

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