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DSS MODEL FORM ALF AUTHORIZATION FOR RELEASE OF CONFIDENTIAL INFORMATION (See 22 VAC 40-72-570) REGARDING: DOB: SS#: (State full name of resident) INFORMATION SOURCE (ALF name and address): INFORMATION
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The Crossroads Community Services Board is a government agency responsible for providing mental health, intellectual disabilities, and substance abuse services to individuals in a specific community or region.
The Crossroads Community Services Board is not required to be filed by individuals. It is a government agency that provides services to individuals.
The Crossroads Community Services Board does not require individuals to fill out any forms as it is not meant for personal or individual use. It is a governmental organization.
The purpose of the Crossroads Community Services Board is to ensure that individuals in the community or region have access to mental health, intellectual disabilities, and substance abuse services. It aims to provide necessary support and resources for those in need.
The specific information to be reported on the Crossroads Community Services Board may vary depending on the region or community it serves. Generally, it may include data on the number of individuals served, types of services provided, financial information, and outcomes achieved.
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Related Links

community_resources - Virginia Commonwealth University
Crossroads Community Services Board. Open. Medicare; Medicaid; Tricare; Private. Reduced, No. None. 60 Bush River Drive Farmville, Virginia 23901 (434) 392-7049 ...
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Mar 26, 2024 — Crossroads. Mental Health Services Board provides services to mentally ill and handicapped persons. Yet there is limited access to doctors, most ...
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... services they use. The number of respondents who used Crossroads Community Services Board for services fell from approximately 32% in 2018 to 12.5% in 2021.

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