Friendly URL: http://www.mass.gov/dmh/policies
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Policies and Forms

• 12-01 Electronic Device Use 
• 12-01 Use of Electronic Device Agreement Form 
• 11-01 Domestic Violence 
• 10-02 Restraint and Seclusion (Word) 
• 10-01R Independent Forensic Risk Assessment and Elective Forensic Consultations  file size 1MB
• 10-01 Initial Risk Assessment On Hospital Admission Form For Electronic Completion (ADA Compliant) (Word) 
• 10-01 Initial Risk Assessment On Hospital Admission Form For Electronic Completion (Word) 
• 10-01 Risk Assessment Update Form (ADA Compliant) (Word) 
• 10-01 Risk Assessment Update Form For Electronic Completion (Word) 
• 09-01 DMH Tobacco Free Campus (Word) 
• 08-1 Internal Control Plan (PDF) 
• 07-1 Management of Protected Health Information (PDF) 
• 03-1 Human Rights(PDF) 
• 01-1 CORI for Risk Assessment(PDF) 
• 01-1 CORI (Patient Risk Assessment) Form (PDF) 
• 99-1 Area of Responsibility (PDF) 
• Out of Area Placement Form (PDF) 
• 99-2 HIV/AIDS (PDF) 
• 99-2 HIV/AIDS Risk Assessment Form (PDF) 
• 99-4 Review of Policies (PDF) 
• 98-1 Charges for Care (PDF) 
• 98-2 Emergency and Disaster (PDF) 
• 98-3 Inpatient Searches (PDF) 
• 98-4 AWA (PDF) 
• 98-4-1 Phone AWA Notification Form (PDF) 
• 98-4-2 Police AWA Notification (PDF) 
• 98-4-3 AWA Notification Form (PDF) 
• 98-4-4 Patient AWA Notification Form (PDF) 
• 98-7 Volunteers (PDF) 
• 98-7 Volunteer Application Form (PDF) 
• 97-2 CORI (PDF) 
• 97-5 Sexual Harassment (PDF) 
• 97-6 Patient Funds (PDF) 
• 96-1 Patient Privileges (PDF) 
• 96-3R Informed Consent (PDF) 
• 96-3 Consent Form (PDF) 
  
• 83-50 Rogers Decision (PDF) 
• 83 Homeless Individuals (PDF) 

 

 

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This information is provided by the Department of Mental Health