Deceased Client Reporting

This form is for professional use only. 
Personal information and data collected is for the Fatality Review Team for the purpose of DHHS fatality review only and will not be shared.  It is collected to reach out if there are clarifications to be made.  
The intended purpose is to inform the DHHS Fatality Review team of any death of an individual that took part in DHHS services within a year prior to the death.  
Individuals that fall under this requirement would have participated in services provided by DHHS.  
The series is #23519, Fatality Review Files.  
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