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Cruz Clinic 17177 N. Laurel Park Drive Suite 131 Livonia MI 48152 7344623210 (pH) 7344621024 (fax) PAYMENT INFORMATION SHEET Date Patient Name DOB On (Date) (name of staff member at Cruz Clinic) contacted
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Gather all necessary information and documents such as personal identification, health insurance information, and medical history.
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Follow the instructions given by the clinic staff and provide accurate and detailed information about your mental health concerns.
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Cooperate with the medical professionals during the examination or assessment process.
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Cruz Clinic Medical - Mental is a healthcare facility that offers a range of mental health services including diagnosis, treatment, and counseling for individuals experiencing mental health issues.
Individuals seeking mental health services at Cruz Clinic Medical are typically required to file necessary documentation to initiate their care, which may include insurance information and personal medical history.
To fill out the Cruz Clinic Medical - Mental forms, patients should provide accurate personal information, medical history, and any relevant insurance details. It is advisable to review all sections carefully and ensure all information is complete before submission.
The purpose of Cruz Clinic Medical - Mental is to provide comprehensive mental health services designed to support individuals in achieving better mental wellness through therapy, medication management, and holistic approaches.
Patients must report personal identification information, medical history, current medications, mental health history, and any insurance details when utilizing the Cruz Clinic Medical - Mental services.
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