• Psychiatric Rehabilitation Program

    Referral Form

     

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  • DIAGNOSIS(ES):

  • PRP eligibility is restricted to the following diagnoses

  • Schizoaffective d/o, Bipolar type

    Schizoaffective d/o, Depressed type

    Other Specified Schizophrenia Spectrum and other Psychotic d/o

    Unspecified Schizophrenia Spectrum and other Psychotic d/o

    Major Depressive d/o, Recurrent episode, Severe without Psychotic features

    Major Depressive d/o, Recurrent episode, Severe with Psychotic features

    Bipolar I d/o, Current/Most recent episode, Manic, Severe, without Psychotic features

    Bipolar I d/o, Current/Most recent episode, Manic, Severe, with Psychotic features

    Bipolar I d/o, Current/Most recent episode, Depressed, Severe, without Psychotic features

    Bipolar I d/o, Current/Most recent episode, Depressed, Severe with Psychotic features

    Bipolar I d/o, Current/Most recent episode, Hypomanic

    Bipolar I d/o, Current/Most recent episode, Hypomanic, Unspecified

    Unspecified Bipolar and Related d/o

    Unspecified Bipolar and Related d/o

  • SOCIAL ELEMENTS IMPACTING DIAGNOSIS:


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