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Evergreen Behavioral Health Adolescent Client Information Form Please provide the following information about the adolescent seeking treatment This information will help your provider to better understand

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Jefferson Center for Mental Health is a non-profit organization that provides mental health services and support to individuals and families in Colorado.

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Individuals and families who utilize the services of Jefferson Center for Mental Health may be required to provide information for reporting purposes.

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To fill out Jefferson Center for Mental Health reporting requirements, individuals may need to provide personal information, details of services received, and any relevant documentation requested.

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The purpose of Jefferson Center for Mental Health is to offer mental health services, support, and resources to help individuals cope with mental health challenges and improve their overall well-being.

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Information such as personal demographics, services received, treatment plans, progress reports, and any other relevant details may need to be reported on Jefferson Center for Mental Health forms.

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