Form F-00439 Community Substance Abuse Services (Csas) Emergency Outpatient Service Recertification Application - Chapter DHS 75.05 - Wisconsin

Form F-00439 Community Substance Abuse Services (Csas) Emergency Outpatient Service Recertification Application - Chapter DHS 75.05 - Wisconsin

What Is Form F-00439?

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-00439?
A: Form F-00439 is the Community Substance Abuse Services (CSAS) Emergency Outpatient Service Recertification Application.

Q: Which chapter does Form F-00439 pertain to?
A: Form F-00439 pertains to Chapter DHS 75.05 in Wisconsin.

Q: What is the purpose of Form F-00439?
A: The purpose of Form F-00439 is to apply for recertification for emergency outpatient services for substance abuse treatment.

Q: What are Community Substance Abuse Services (CSAS)?
A: Community Substance Abuse Services (CSAS) are services provided for individuals with substance abuse issues in the community.

Q: What is the recertification process for emergency outpatient services?
A: The recertification process for emergency outpatient services involves completing and submitting Form F-00439.

Q: Who is eligible for emergency outpatient services?
A: Individuals with substance abuse issues who require immediate treatment but do not require inpatient care are eligible for emergency outpatient services.

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Form Details:

  • Released on April 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-00439 by clicking the link below or browse more documents and templates provided by the Wisconsin Department of Health Services.

Download Form F-00439 Community Substance Abuse Services (Csas) Emergency Outpatient Service Recertification Application - Chapter DHS 75.05 - Wisconsin

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