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DepartmentofPsychiatryBehavioralHealth 200MercyDrive,Suite201Dubuque,IA52001 5635843500or8006486868 INITIALADULTASSESSMENT Name DateofBirth Occupation MaritalStatus TodaysDate Handedness:Remixed Whoreferredyoutoouroffice?
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Visit the mahealthcarecom website and navigate to the behavioral health section.
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Next, you may be asked to select your insurance provider and input your insurance policy information.
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Provide detailed information about your behavioral health needs, including any diagnoses, medications, or treatments you are currently receiving.
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If applicable, provide information about any previous behavioral health providers or facilities you have visited.
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Behavioral health on mahealthcarecom refers to mental health and substance abuse services.
Healthcare providers and organizations offering behavioral health services are required to file.
Providers can fill out the form online or submit it through the mail.
The purpose is to report data on the delivery of behavioral health services for compliance and tracking purposes.
Providers must report patient demographics, services provided, and outcomes.
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