PA Adjustment Request Now Hiring State-Wide Make A Referral Areas We Serve Frequent Questions Make A Payment To Add Goals and Objectives to Treatment Plans that are IN USE Client Name(Required) First First 5 Letters of Last Name Insurance ID Number(Required) Select Needed Adjustments(Required) Need Date Changed Need New Goals and/or Objectives Need Rehab Added Need CM Added Need Testing Added Need Anger Group Objectives Need Parenting Group Objectives Need Other Group Objectives Date Needed(Required) MM slash DD slash YYYY Note: For CDC 23s and CDC42s, the date can only be backdated 7 days from the CURRENT day.Additional Group MembersClient NameFirst NameFirst 5 Letters of Last NameTH ID Number Add RemoveClick on the + button to add more linesProblem Statement 1(Required) This can be an existing problem statement but you must tell us which one you want it added to if you are using an existing problem statement. Goal Statement 1(Required) This can be an existing goal statement but you must tell us which one you want it added to if you are using an existing goal statement. Objectives for Problem/Goal 1(Required)Specific ObjectiveType of Service (individual, family, rehab, etc.) Add Removeat least 2 objectives are required per problem/goal. Click on the + to add more objectivesProblem Statement 2 Goal Statement 2 Objectives for Problem/Goal 2Specific ObjectiveType of Service (individual, family, rehab, etc.) Add Removeat least 2 objectives are required per problem/goal. Click on the + to add more objectivesProblem Statement 3 Goal Statement 3 Objectives for Problem/Goal 3Specific ObjectiveType of Service (individual, family, rehab, etc.) Add Removeat least 2 objectives are required per problem/goal. Click on the + to add more objectivesHiddenSSI, Discharge or IEP Letter for RehabMax. file size: 50 MB.If your client is not showing eligible for rehab in TH please submit supporting documents hereSSI, Discharge or IEP Letter for Rehab(Required) Drop files here or Select files Max. file size: 50 MB. If your client is not showing eligible for rehab in TH please submit supporting documents hereClinician Name(Required) Clinician Email(Required) Δ