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Behavioral Health Outpatient Services Intensive Outpatient Program Admission Face Sheet Patient Name: Last: Are you known by any other name? Mothers Maiden Name: Patient Address:First: Middle:Yes:Zip
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Behavioral health outpatient services are mental health and substance abuse services that are provided to individuals on an outpatient basis, meaning they do not require overnight stays in a facility.
Providers and facilities that offer behavioral health outpatient services are required to file reports with relevant authorities.
Providers must complete the necessary forms with details of the services provided, patient information, and other required data.
The purpose of behavioral health outpatient services is to provide therapy, counseling, medication management, and other services to individuals who are dealing with mental health or substance abuse issues.
Information such as the type of services provided, dates of service, diagnosis, treatment plan, patient demographics, and insurance information must be reported on behavioral health outpatient services.
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