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- Click ‘Get Form’ to open the DCH-3877 in the editor.
- Begin by filling out Section I, which requires patient information such as name, date of birth, and address. Ensure all fields are accurately completed.
- Indicate whether the patient has a court-appointed guardian. If yes, provide the guardian's details including name and contact information.
- In Section II, answer all six screening criteria questions. Circle 'YES' or 'NO' based on the patient's condition and ensure clarity in your responses.
- If any answers in Section II are 'YES', proceed to complete Section III with a clinician’s statement certifying the accuracy of the provided information.
- Review all sections for completeness before saving or exporting your filled form for submission.
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