2007 NC DMH 1-73-00-2025

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The document is a referral form for admission to a State Psychiatric Hospital or ADATC, detailing the necessary information about the consumer/patient, including personal details, mental health status, substance use history, and treatment objectives. It includes sections for medical history, current medications, legal considerations, and discharge planning. The form is used by providers to facilitate the admission process and ensure appropriate care.

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