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HOUSE STAFF BENEFITS PLAN www.cirseiu.org/hsbp MENTAL HEALTH CLAIM FORM Eligibility: HSBC employees including eligible dependents. Maximum reimbursement allowed: $5000 per person, per benefit year.
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Mental health - Cirseiu is a form used to assess and report an individual's mental health status.
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Information such as diagnosis, treatment plan, medication, and overall mental health assessment must be reported on mental health - Cirseiu.
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