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Office of Prevention & Intervention 440 North Broad Street Philadelphia, PA 19130Behavioral Health Emergency Form To:Philadelphia Children's Crisis Response Centerfold:Principal ___School:___Re:Student
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Fill in your personal information such as name, date of birth, and contact information
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Answer the questions related to your behavioral health emergency including any symptoms or behaviors you are experiencing
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Individuals who are experiencing a behavioral health emergency and require immediate assistance or treatment
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The behavioral-health-emergency-form docx is a document used to report emergency situations related to behavioral health.
Healthcare providers, mental health professionals, and facilities are required to file the behavioral-health-emergency-form docx when encountering emergency situations.
The form should be filled out with details of the emergency situation, patient information, treatment provided, and any follow-up plans.
The purpose of the form is to document and report emergency situations related to behavioral health in order to ensure appropriate care and support for patients.
Information such as the patient's name, date of birth, presenting problem, treatment provided, and any follow-up plans should be reported on the form.
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