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Get the free BHS Referral and Order form - Cheyenne Regional Medical Center

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Fax completed form to ECT/Nursing Department at 307-633-7049. If you have any questions call 307-633-7013. Behavioral Health Services OP. ECT Referral.
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BHS referral and order is a document used to refer an individual to behavioral health services and to provide an order for the required treatment.
The healthcare professionals or authorized entities responsible for the individual's care are required to file the BHS referral and order.
To fill out the BHS referral and order, you need to provide information about the individual's condition, recommended treatment, and any other relevant details. The form can typically be completed electronically or by using a printed copy.
The purpose of the BHS referral and order is to ensure that individuals in need of behavioral health services receive the necessary care and treatment as recommended by healthcare professionals.
The BHS referral and order typically require reporting information such as the individual's name, demographic details, diagnosis, recommended treatment, referral date, and healthcare provider information.
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