SOP_NUMBER: 508.15-att-4
TITLE: Parole Evaluation Log (Form M31-01-04)
DIVISION: Unknown
TOPIC_AREA: Mental Health Evaluations/Screenings/Treatment
EFFECTIVE_DATE: 2022-08-15
WORD_COUNT: 53
POWERDMS_URL: https://public.powerdms.com/GADOC/documents/352548
URL: https://gps.press/sop-data/508.15-att-4/

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

ATTACHMENTS:
  1. Mental Health Evaluation for Services (Form M31-01-01)
     URL: https://gps.press/sop-data/508.15-att-1/
  2. Mental Status Evaluation (Attachment 2)
     URL: https://gps.press/sop-data/508.15-att-2/
  3. Authorization for Release of Information (Mental Health Services)
     URL: https://gps.press/sop-data/508.15-att-3/
  4. Parole Evaluation Log (Form M31-01-04)
     URL: https://gps.press/sop-data/508.15-att-4/
  5. Requested Records Log
     URL: https://gps.press/sop-data/508.15-att-5/

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FULL TEXT:
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SOP 508.15
Attachment 4

8/15/22


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