kindly consider adding the following fields to the Qualitative Service Review form. The items listed below are required by CARF for Quality Record Management.

1)Date of Admission

2)Information about the individual's personal representative payee, if any of these have been appointed, including the name, address, and telephone number

3)Emergency Contact information including name, address, and telephone number

4)The person coordinating the services of the person served

5) The location of any other records

6) PCP information

7) Healthcare reimbursement information.

Thanks