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The Counseling House, LLC911 Emerson Avenue Parkersburg, WV 26104PLEASE FILL IN ALL REQUESTED INFORMATION Personal Information:Name: ___FirstMILastAddress: ___CityStateZip Phone: ___ ___ ___HomeWorkCellularPreferred
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Read the instructions carefully before filling out the form.
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Mental health services formrapy is a form used to report mental health services provided to patients.
Healthcare providers and organizations that offer mental health services are required to file the form.
The form can be filled out online or in paper format, providing details of the mental health services offered.
The purpose of the form is to track and monitor mental health services provided to patients.
Information such as patient demographics, types of services provided, and dates of services must be reported on the form.
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