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APPLICATION TO THE ADDICTION PSYCHIATRY FELLOWSHIP DEPARTMENT OF PSYCHIATRY, UNM HEALTH SCIENCES CENTER GENERAL INFORMATION Last First Middle Male Female Name Name Name Birth Date Present Mailing
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Write the patient's personal information including name, age, and contact details.
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Provide the details of the patient's current mental health condition, including any diagnoses or symptoms.
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Include information about the patient's previous psychiatric treatment, if applicable.
04
Specify any medication or treatment the patient is currently undergoing or has taken in the past.
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Detail any relevant medical history, such as past illnesses, surgeries, or chronic conditions.
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Individuals who are experiencing mental health issues or psychiatric disorders.
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Individuals who have a history of mental illness or have been referred by other healthcare professionals.
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The department of psychiatry is a specialized branch of medicine that focuses on the diagnosis, treatment, and prevention of mental disorders.
Psychiatrists, mental health professionals, and healthcare facilities are typically required to file department of psychiatry reports.
Department of psychiatry reports can be filled out online or in paper form, following the specific guidelines provided by the governing body.
The purpose of department of psychiatry reports is to ensure accurate and timely reporting of mental health services and treatments.
Information such as patient demographics, diagnosis codes, treatment modalities, and outcomes must be reported on department of psychiatry forms.
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