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North Springs Psychiatry LLC Amanda J. Batter bee, PMHNPBC1880 Office Club Point Colorado Springs, Colorado 80920 Phone: (719) 2728222 Fax: (719) 2728223Patient Name: Date of Birth: Sex: M F Social
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01
Gather all the necessary information and documents needed to fill out the form.
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Start by entering the basic details such as your name, contact information, and date of birth.
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Provide your insurance information, including the name of your insurance company, policy number, and group number if applicable.
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Next, fill out the medical history section by providing information about any pre-existing conditions, allergies, and medications you are currently taking.
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If you have any specific concerns or reasons for seeking psychiatric services, make sure to provide details in the appropriate section.
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Review your form for any errors or missing information before submitting.
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Once you have completed all the required fields, sign and date the form.
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Submit the filled-out form to North Springs Psychiatry LLC either in person or through their designated submission method.
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If necessary, follow up with the clinic to ensure they have received your form and to schedule an appointment if needed.

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Anyone who is in need of psychiatric services and therapy can benefit from North Springs Psychiatry LLC.
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This includes individuals who are experiencing mental health disorders or issues such as anxiety, depression, bipolar disorder, schizophrenia, PTSD, addiction, and other related conditions.
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Patients who require medication management, counseling, psychotherapy, or comprehensive psychiatric evaluations can seek services from North Springs Psychiatry LLC.
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It is advised to consult with a healthcare professional or mental health provider to determine if North Springs Psychiatry LLC is the right fit for one's specific needs.

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