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AGENDA ITEM SUBMITTAL FORM BOARD OF Supervisors Clerk's Use Only: AGENDA NUMBERLESS OF THE BOARD 44 N. San Joaquin Street, Suite #627 Stockton, California 95202SUBMIT ONE COPY OF Tills FORM WITH EACH
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Fill in your personal information, such as your name, date of birth, and contact information.
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Provide details about your current mental health condition and any previous treatment or therapy you have received.
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JDEP IRTMENT HCSBehavioral Health stands for Department of Health Care Services Behavioral Health.
Health care providers and facilities are required to file JDEP IRTMENT HCSBehavioral Health.
To fill out JDEP IRTMENT HCSBehavioral Health, providers need to report specific behavioral health information as per the guidelines provided.
The purpose of JDEP IRTMENT HCSBehavioral Health is to track and monitor behavioral health services provided to patients.
Information on behavioral health diagnoses, treatments, and outcomes must be reported on JDEP IRTMENT HCSBehavioral Health.
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