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17025 Snowmobile Ln Eagle River, AK 99577 Phone:(907)6967466 Fax: (907)7260332 AUTHORIZATION FOR RELEASE OF INFORMATION Patients Name: Social Security Number: Today's Date: Date of Expiration: Date
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Start by gathering all necessary personal information, including your name, address, phone number, and date of birth.
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Provide accurate and detailed information about your medical history, including any previous diagnoses, medications, and treatments.
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Orion Behavioral Health is for individuals who are seeking mental health services.
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Those who require professional evaluation, counseling, therapy, or treatment related to behavioral health can utilize Orion Behavioral Health as a resource.
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Both adults and children who are in need of mental health support can access the services provided by Orion Behavioral Health.
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Orion Behavioral Health is a mental health organization that provides counseling and therapy services.
Medical professionals and mental health providers are required to file Orion Behavioral Health forms.
Orion Behavioral Health forms can be filled out electronically or manually, with accurate information about the patient and services provided.
The purpose of Orion Behavioral Health forms is to track treatment and progress of patients receiving mental health services.
Information such as patient demographics, diagnosis, treatment plans, and progress notes must be reported on Orion Behavioral Health forms.
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