Detail Breakdown

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Detail Breakdown

Consumer Information

Consumer Number

Intake Date

YYYY

Name

M Number

Diagnostic Code

Phone

DoB

YYYY

Reports submitted

Contractor Deliverable Report (Weekly, Wednesdays)

Initial Treatment (PRP) Plan (10 Days)

Initial Assessment (3 Days)

Progress Notes (Every other Week)

UAs (+) (As Needed)

Treatment/PRP Plan Review (w/ minutes) Every 90 Days

Discharges/Aftercare Plan (W/ 3 Days of Exit)

SUD (PRP) Group Notes (Within 24 Hours)

Clincial Matrix Rollup (Billing Chart)

DUI Training

Referral Note

Peer Review Aftercare Plan

Peer Review Note

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For more information,

OOH Training Department : 443.805.8927
OOH Main Office 1.855.9. OOHHOPE (1.855.966.4467)
PW@OrganiationOfHope.org

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