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Illinois Department of Human Services
Michelle R.B. Saddler, Secretary
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Data Input Forms

  • Client Patient Admission DARTS Data Entry Form FY 2013 (pdf)
  • Client Patient Discharge with National Outcome Measures DARTS Data Entry Form FY2013 (pdf)
  • Assessment, Intervention, Case Management, Level I and Level II, HIV, Interpreter Data Entry Form FY 2013 (pdf)
  • Residential and Recovery Home Services FY 2013 (pdf)
  • Toxicology Services FY 2013 (pdf) - updated 07/05/2012

If an accessible version of the above documents is required, contact Pat Gastorf.

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