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Clear Form *DHS6176ENG* DHS6176ENG 812 Minnesota Health Care Programs (MCP) Psychiatric Consultation Request Form For Prescribers Collaborative Psychiatric Consultation Service This form is for prescribers
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It is a form for reporting health information in Minnesota.
Healthcare providers and facilities are required to file.
The form must be completed with accurate health data and submitted online or by mail.
The purpose is to collect and monitor health data for regulatory and statistical purposes.
Health status, treatments, medications, and other relevant health information must be reported.
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