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FILE NO.: Z9480 NAME: Integrated Psych Solutions Short form POD LOCATION: 218 North McKinley DEVELOPER: Jennifer Anderson 2300 North Rodney Par ham Road Little Rock, AR 72212 OWNER/AUTHORIZED AGENT:
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Z-9480 Name Integrated Psych is a form used to report integrated psychological services provided by a specific entity.
Any entity or individual providing integrated psychological services is required to file z-9480 Name Integrated Psych.
Z-9480 Name Integrated Psych must be filled out with accurate information regarding the integrated psychological services provided.
The purpose of Z-9480 Name Integrated Psych is to document and report integrated psychological services for regulatory purposes.
Information such as the types of integrated psychological services provided, frequency of services, and outcomes must be reported on Z-9480 Name Integrated Psych.
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