Signatures

 

SIGNATURES

 

• CMBHS requires client signatures according to DSHS policy and applicable state and federal laws.
• The table below displays the CMBHS forms that must be printed, signed by the client and staff and maintained in a secure client file.
• The forms with the client’s signature may be scanned and maintained in CMBHS.
• Additional forms, not yet in the CMBHS system may also require a client signature such as a Consent to Treatment form.

 

CMBHS Page/Form	Staff Signature	Client Signature
Financial Eligibility Assessment	Required	Required
Consent to Release Information	Required	Required
Revocation of Consent to Release	Required	Required
Treatment Plan	Required	Required
Service Plan	Required	Required
Discharge Plan	Required	Required
Treatment Plan Review	Required	Required

 

 

When the Client has a Legally Authorized Representative (LAR)

 

• When someone other than the client is legally authorized or required to sign a form, check the LAR box by CLICKING inside it.
• Then select that person’s name from the drop down list, and complete the rest of the form.
• Print out the form using the Print button and have the LAR sign the form after providing the necessary information.
• If the name of the LAR does not display in the drop down box, then that person is not listed in the Client Profile as the LAR.
• The LAR must be designated in the Client Profile as the Primary Contact and LAR, in order for their name to display in the drop down box and be available for selection.
• The documentation in the Client Profile is not correct, you may go to the Client Profile and make the needed changes.

 

Caution:

Always have copies of the necessary legal papers and consult with others as needed before changing the LAR in the CMBHS system.