---
title: Diagnosis Update Request Form
description: "View below or use the link to access the Missouri Department of Mental Health's Diagnosis Update Request Form. Use this form to add conditions to an individual's diagnosis section in CIMOR for service eligibility. [Diagnosis Update Request Form (external link)](https://dmh.mo.gov/media/pdf/diagnosis-update-request-form)…"
url: "https://mosds.org/docs/diagnosis-update-request-form/"
updated: "2025-06-27"
category: "Essentials & Startup [Free] / Medicaid Waivers"
---

# Diagnosis Update Request Form

View below or use the link to access the Missouri Department of Mental Health's Diagnosis Update Request Form. Use this form to add conditions to an individual's diagnosis section in CIMOR for service eligibility.

  [Diagnosis Update Request Form (external link)](https://dmh.mo.gov/media/pdf/diagnosis-update-request-form)

[DiagnosisUpdateRequestForm](https://mosds.org/wp-content/plugins/embedpress/assets/pdf/web/viewer.html?&file=https%3A%2F%2Fmosds.org%2Fwp-content%2Fuploads%2F2025%2F06%2FDiagnosisUpdateRequestForm.pdf#key=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)

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