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The document is a form (PM FORM 5.3.1) used for filing an appeal or grievance related to services for individuals with Serious Mental Illness (SMI) under the Arizona Department of Health Services/Division of Behavioral Health Services (ADHS/DBHS). It collects personal information from the member/applicant and the person filing the appeal, details about the grievance, and requests for service continuation during the appeal process.

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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.

What is the name of the governing body that oversees hospitals?

For more than 70 years, The Joint Commission has been a global driver of quality improvement and patient safety in health care.

What does ADHS stand for in medical terms?

[Attention-deficit/hyperactivity disorder (ADHS) in adulthood]

What does the Arizona Department of Health Services do?

The Arizona Department of Health Services promotes and protects the health of Arizonas children and adults. We strive to set the standard for personal and community health through direct care, science, public policy, and leadership.

Who oversees hospitals in AZ?

The Arizona Department of Health Services (ADHS) was established in 1973. Current statutory authority is found at A.R.S. 36-101 et seq. Administrative rules are found at A.A.C.