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Behavioral Health Services

Treatment Provider Forms and Resources

The following forms are available in various formats. 

To view or print out files in PDF (Portable Document Format), use the free Adobe "Acrobat Reader™"

Treatment MIS Manual, Forms and Codes
FY10 Treatment Rate Table Excel PDF  
FY10 Rate Table Instructions Excel PDF  
FY2010 Substance Abuse Treatment Services Plan        PDF  
FY2010 Area Plan   PDF  
Referral for Psychotropic Medication Form        PDF
UCE Authorization Protocol   PDF  
Service Definitions with Codes        PDF
FY 11 Contract Training   PDF  
Mental Health Area Plan 2011        PDF

 

Financial - Co-Pay Schedule
Youth Weekly Co-Pay  PDF   
Youth Residential Co-Pay  PDF   
Adult Daily Co-Pay  PDF   
Adult Weekly Co-Pay  PDF   
Adult Residential Co-Pay PDF

 

UWITS Specific

If you have questions about UWITS, including billing on UWITS, submit a question here: UWITSsupport@slco.org

Clinical/Client Episode PDF   
Left Navigational Pane PDF   
Administrator Guide May 2010 PDF   
Reference Guide Consent PDF   
Client Consent and Referrals instruction PDF   
Reference Guide Client Referrals BY and To PDF 
System Guide June 2010 PDF   
Reference Guide Client Admission PDF   
Reference Guide Notes PDF