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Authorization for Use and Disclosure of Protected Health Information ENCOMPASS MENTAL HEALTH, LLC I hereby authorize Encompass Mental Health, LLC to use and/or disclose my protected health information
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Encompass Mental Health LLC is a mental health provider offering therapy and counseling services.
Encompass Mental Health LLC is required to be filed by the owners or managers of the company.
To fill out Encompass Mental Health LLC, you will need to provide information about the company's address, owners, and services offered.
The purpose of Encompass Mental Health LLC is to provide mental health services to individuals in need of therapy and counseling.
Information that must be reported on Encompass Mental Health LLC includes financial records, services provided, and any changes in ownership.
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