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104 CMR 32.00 For Department Use Only COMMONWEALTH OF MASSACHUSETTS DEPARTMENT OF MENTAL HEALTH Date Received: / / COMPLAINT FORM Received By: Log #: 1. NAME OF COMPLAINANT(S) STATUS×ADDRESS AND
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Department of mental healthdate is a report that must be filed by healthcare providers to report information related to mental health services provided.
Healthcare providers who provide mental health services are required to file department of mental healthdate.
Department of mental healthdate can be filled out online through the designated portal provided by the Department of Health.
The purpose of department of mental healthdate is to collect data on mental health services provided to patients for research and analysis purposes.
Information such as patient demographics, types of mental health services provided, duration of services, and outcomes must be reported on department of mental healthdate.
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