822 5 treatment 2025

See details

4.9 out of 5

440 votes

The document outlines the Individual Treatment/Recovery Plan for patients in an Opioid Treatment Program, detailing various identified functional areas such as chemical dependence, physical health, mental health, education/employment, housing, legal issues, family dynamics, leisure activities, and other concerns. It includes sections for goal status, objectives, clinical actions/interventions, and coordination of care. The plan must be established within 30 days of admission and requires approval from a multi-disciplinary team.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out 822 5 treatment with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the 822 5 treatment document in the editor.
Begin by entering the Patient Name and Patient ID# at the top of the form. This information is crucial for identifying the individual receiving treatment.
For each Identified Functional Area (e.g., Chemical Dependence, Physical Health), indicate the goal status by selecting from options such as 'Defer', 'Not applicable', or 'Referred to other provider'.
Fill in the Areas of concern as noted in the Comprehensive Evaluation, followed by specifying Goal(s) or Deferral Information and Objectives that outline steps to achieve these goals.
Set a Target Date for each objective and detail any Clinical Action/Intervention required, along with a Completion Date once actions are finalized.
Complete sections for additional functional areas like Mental Health, Education/Employment, Housing, Legal, Family, Leisure, and Other using similar steps as above.
Finally, ensure all signatures are obtained from responsible clinical staff members and patients where necessary before submission.

Start filling out your 822 5 treatment form online for free today!

See more 822 5 treatment versions

We've got more versions of the 822 5 treatment form. Select the right 822 5 treatment version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4.9 Satisfied (440 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How can I create an electronic signature in my 822 5 treatment on Android?

Approving paperwork on a mobile device is fast, straightforward, and doesn’t require software installation if you have an account with DocHub. Log in from any browser, complete your blank fields with your information, and click on Sign → Create your signature. You can draw your eSignature the same way you usually do on paper, add its picture to your 822 5 treatment, or type in your name and stylize its look. Whatever option you select, your document will be valid.

How do you create an e-signature for the 822 5 treatment on iOS?

In addition to a comprehensive toolset for editing PDFs on mobile phones, DocHub enables you to sign your 822 5 treatment along the way. Open our editor in your internet browser, make modifications using DocHub’s toolset, and finish your editing by eSigning the finished form.

Try more PDF tools