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Dhhs incident and death report nc 2006 form-2025

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The document is a confidential incident and death report form used by the North Carolina Department of Health & Human Services for reporting Level II and Level III incidents, including deaths and restrictive interventions, involving individuals receiving publicly funded mental health, developmental disabilities, and substance abuse services. It outlines the procedures for reporting such incidents, the required information to be documented, and the confidentiality protections in place. The form must be submitted within specified timeframes to local and state oversight agencies to ensure compliance with North Carolina Administrative Code.

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Versions	Form popularity	Fillable & printable
2010	4.9 Satisfied (452 Votes)
2006	4 Satisfied (38 Votes)

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