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Out of Home Discharge Summary Send completed form by fax to the BUMP Behavioral Health Department at (520) 8743411 or BUHPBHUMPAMailbox@bannerhealth.com Member Name: ___DOB: ___ Date of Admission:
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Behavioral & mental health refers to the emotional, psychological, and social well-being of an individual, including how they think, feel, act, and relate to others.
Healthcare providers, therapists, psychologists, and social workers are required to file behavioral & mental health information.
Behavioral & mental health forms can be filled out by providing accurate and detailed information about the individual's mental health history, symptoms, and treatment.
The purpose of behavioral & mental health reporting is to assess, diagnose, and treat mental health conditions, and to provide appropriate care and support for individuals.
Information such as the individual's mental health history, symptoms, diagnosis, treatment plan, and progress must be reported on behavioral & mental health forms.
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