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Neuropsychiatric Center Ravi Kant, MD, P.C. 300 Old Pond Road, Suite 201, Bridgeable, PA 15017 Tel. # 4122207323 Fax # 4122207325Patient Information and Consent Form for Telehealth Name:___Date of

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Individuals experiencing mental health disorders or conditions such as anxiety, depression, bipolar disorder, schizophrenia, ADHD, or other neurological conditions may benefit from visiting a neuropsychiatry center like Ravi.

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The neuropsychiatry center - ravi is a specialized facility that focuses on the diagnosis and treatment of neurological conditions that are linked to psychiatric symptoms, offering comprehensive care for patients with complex mental health issues.

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Individuals seeking treatment at the neuropsychiatry center - ravi, as well as healthcare providers and institutions reporting patient data, may be required to file specific documentation or reports as per regulatory requirements.

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To fill out the necessary forms for the neuropsychiatry center - ravi, gather the required patient information, including personal details, medical history, and any relevant psychiatric evaluations. Follow the guidelines provided by the center for proper completion.

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The purpose of the neuropsychiatry center - ravi is to provide integrated care that combines neurology and psychiatry, aiming to address the comprehensive needs of patients with co-occurring neurological and psychiatric disorders.

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Information that must be reported includes patient demographics, diagnosis, treatment plans, progress notes, and outcomes related to the neuropsychiatric care provided.

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