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LifeWays Early Childhood Fundamentals Course 2021 Registration Form Boulder, CO Tucson, AZ(Please check the location above in which you are enrolling) Mail this form to Mary O'Connell, 1529 St Charles
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Lifeways Behavioral Health is a provider of behavioral health services, focusing on supporting individuals with mental health challenges, offering therapy, consultation, and rehabilitation services.
Healthcare providers who offer services under Lifeways Behavioral Health are required to file this documentation to ensure compliance and proper billing for services rendered.
To fill out the provider form, complete all required sections including provider details, services offered, and patient information. Ensure all signatures are obtained and submit to the designated authority.
The purpose of this form is to document the services provided by Lifeways Behavioral Health for billing and compliance purposes, ensuring that the services are tracked and funded appropriately.
The report must include provider identification, service dates, types of services rendered, patient identification, and any other relevant billing information.
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