SOP 508.15-att-4: Parole Evaluation Log (Form M31-01-04)

Division:
Unknown
Effective Date:
August 15, 2022
Topic Area:
Mental Health Evaluations/Screenings/Treatment
PowerDMS:
View on PowerDMS
Length:
53 words

Summary

This is a tracking log form used to document parole evaluation requests and completions within the mental health department. It records inmate names, GDC numbers, facilities, request dates, evaluator information, completion dates, and the date reports are submitted to the Parole Board. Completed forms must be retained in the mental health area for four years before destruction or archiving.

Key Topics

  • parole evaluation
  • mental health evaluation
  • parole board
  • evaluation tracking
  • inmate mental health
  • parole report
  • form M31-01-04
  • evaluation log
  • mental health records

Full Text

SOP 508.15
Attachment 4

8/15/22

|Name|GDC #|Facility|Date
Request
Received|Evaluator Name/Title|Date
Evaluation
Completed|Date Report Mailed
to Parole Board (w/n
30 days of receipt)|
|---|---|---|---|---|---|---|
|
|||||||
|
|||||||
|
|||||||
|
|||||||
|
|||||||
|
|||||||
|
|||||||
|
|||||||

Form no. M31-01-04 Page 1 of 1

Retention Schedule: Completed forms shall be maintained in the mental health area for four (4) years, then destroyed or archived.

Attachments (5)

  1. Mental Health Evaluation for Services (Form M31-01-01) (795 words)
  2. Mental Status Evaluation (Attachment 2) (79 words)
  3. Authorization for Release of Information (Mental Health Services) (359 words)
  4. Parole Evaluation Log (Form M31-01-04) (53 words)
  5. Requested Records Log (56 words)
Machine-readable: JSON Plain Text