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VALUE BEHAVIORAL HEALTH OF PENNSYLVANIA (VB HPA) REQUEST FOR INFORMATION (RFI) REQUEST FOR INTERESTED PARTIES TO OFFER THE FOLLOWING TREATMENT SERVICE TO HEALTHCHOICES MEMBERS IN BUTLER COUNTY PSYCHIATRIC

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How to fill out rfi crawford mh adult

How to fill out RFI Crawford MH Adult:

01

Begin by carefully reviewing the form and understanding the purpose of each section.

02

Provide your personal information, including full name, contact details, and any identification numbers required.

03

Next, provide information about your current mental health condition, including any diagnoses or medications you are currently taking.

04

If applicable, include information about any previous mental health treatment you have received, including the names of healthcare providers or facilities.

05

Fill out any additional sections or questions that are relevant to your specific situation or needs.

06

Review the completed form for accuracy and make any necessary corrections.

07

Sign and date the form as required.

Who needs RFI Crawford MH Adult:

01

Individuals who are seeking mental health services or treatment from the Crawford MH facility.

02

People who have been referred to the Crawford MH facility for mental health assessment or evaluation.

03

Any person who has been advised by a healthcare professional to complete the RFI form for the purpose of accessing mental health services at Crawford MH.

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