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Behavioral Health Outpatient ServicesIntensive Outpatient Program Admission Face Sheet Patient Name: Last: Are you known by any other name? Mothers Maiden Name: Patient Address: City: Home Phone #: Date
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The NHPWMC Intensive Outpatient Program is a specialized treatment program designed for individuals struggling with substance abuse or mental health issues, offering structured therapy and support while allowing for continued participation in daily activities.
Individuals who are participating in or seeking access to the NHPWMC Intensive Outpatient Program are typically required to file relevant documentation, including patients, their healthcare providers, and organizations involved in the treatment process.
To fill out the NHPMWC Intensive Outpatient Program application, individuals should complete all required personal and medical information forms, provide documentation as requested, and follow the guidelines provided by the treatment center.
The purpose of the NHPWMC Intensive Outpatient Program is to provide comprehensive treatment for substance abuse and mental health issues, enabling patients to develop coping skills, engage in therapy, and receive support while maintaining their everyday responsibilities.
Information that must be reported includes the patient's personal details, clinical history, treatment goals, progress notes, and any other relevant medical or psychological assessments required by the program.
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