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SCREENING/ASSESSMENT Limbaugh House400 N Limbaugh Boise, Idaho 83704Date: ___ Time:___ Person completing: ___ Agency: ___Phone #: ___ IDENTIFYING INFORMATION: Name: ___ DOB: ___ Age: ___ Marital Status:
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Visit the Contact Us page for Boise, ID Mental Health services.
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Provide your name, email address, phone number, and a brief description of your inquiry or concern.
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Individuals seeking mental health services in Boise, ID.
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Contact usboise id mental is a form used to report mental health services provided in Boise, Idaho.
Healthcare providers and facilities in Boise, Idaho are required to file contact usboise id mental.
To fill out contact usboise id mental, providers need to include information about the mental health services provided, the dates of service, and patient demographics.
The purpose of contact usboise id mental is to track and monitor mental health services in the Boise, Idaho area.
Information such as the type of mental health services provided, the provider's information, patient demographics, and dates of service must be reported on contact usboise id mental.
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