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To NHYH Referral Coordinator Phone 480-722-2730 Fax 480-664-4296 Email outpatient nhyh. org From Date Sent Number of Pages Please attach the following required documents 1. Referral Face Sheet 2. T/RBHA Treatment/Service Plan with specific services listed RMBHS signed by BHP and guardian. 3. T/RBHA Annual Behavior Assessment reviewed and signed by BHP Magellan referrals must also submit Current Strengths Needs Cultural Discovery Assessment SNCD CASII score Additional documents will be...

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