DMH is requiring weekly reporting by all DMH licensed facilities regarding several key elements.  Each hospital/unit should report on Tuesdays with the answers to daily questions as of 12:01 AM of the reporting day. All data is to be reported by 1:00 p.m. on Tuesdays.

Question Title

* 1. This report is being entered on:

Date

Question Title

* 2. Name of person responding:

Question Title

* 3. Email Address of person completing report.

Question Title

* 4. This facility is a:

Question Title

* 6. Unit Type (Please enter units in the order below)

T