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Physicians Health Program PHP MONITOR REPORT FORM Participant Name Date Report Period Q1 Q2 Q3 Q4 Circle One Location of Session Direct Line - 717 558-7819 FAX Line - 717 558-7818 Message Line - 717 558-7817 Toll Free - 866 747-2255 ADDITIONAL NOTES SELF-HELP PROGRAM INVOLVEMENT CONTINUOUS RECOVERY SINCE RECOMMENDED CHANGES IN RECOVERY PLAN AA/NA meetings/week Caduceus group meetings/week Has a sponsor Has home group Other specify PROFESSIONAL THERAPY INVOLVEMENT THERAPIST/CLINIC Individual...

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What is physicians health program?

Physicians health program is a confidential program designed to help physicians who may be struggling with physical or mental health issues.

Who is required to file physicians health program?

Physicians who are seeking assistance with physical or mental health issues are required to file physicians health program.

How to fill out physicians health program?

Physicians can fill out physicians health program by contacting the program directly and following their guidelines for enrollment and reporting.

What is the purpose of physicians health program?

The purpose of physicians health program is to provide support and resources to physicians who may be dealing with health issues that could affect their practice.

What information must be reported on physicians health program?

Physicians must report their health issues, treatment plans, progress, and any potential impact on their ability to practice medicine.

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