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Office of Health and Quality Care

Children And Adolescents Mental Health Services Initiative
Children & Adolescents Mental Health Service Initiative Cover Form - Child (1035eHQCchild) | PDF | Word
Community Service Board Report - Invoice Monthly Summary - Child (1034eHQCchild) | PDF
Implementation Instructions for the CAMHIS 2002 (OHQC-InstructionsCAMHIS) | HTML
Individual Service Plan With Quarterly Expenditure Report - Child (1033CeHQCchild) | Excel
Individual Service Plan - Child (1033eHQCchild) | Excel
General
Community Seclusion and Restraint Reporting - 2007 (3052eOHQC) | PDF | Word
Pharmacy
Formulary modification request (3031eOHQCPharm) | PDF
Nonformulary Medication Request (3032eOHQCPharm) | PDF
Community Resource Pharmacy MD Registration List (3035eOHQCPharm) | PDF
Community Resource Pharmacy MD Registration form (3036eOHQCPharm) | PDF
Community Resource Pharmacy Formulary (3039eOHQCPharm) | PDF
Formulary Management Process (3040eOHQCPharm) | PDF
Region IV Acute Care Project
Project Admission & Initial Payment Authorization (Appendix A-1089eHQCacute) | PDF
Project Reauthorization / Continued Admission (Appendix B-1089eHQCacute) | PDF
Project Discharge / Transfer Notice (Appendix C-1086eHQCacute) | PDF

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***Please Note: The department name has changed to the Department of Behavioral Health and Developmental Services on July 1, 2009 (from the Department of Mental Health, Mental Retardation and Substance Abuse Services).  The department’s new Web site address is www.dbhds.virginia.gov.  The previous Web site address will continue to work for up to a year after July 1, 2009.***
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