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ODESSA/HCA BEHAVIORAL HEALTH CUSTOMER DATA CORE SECTION Agency:Date of Transaction (MMDDYYYY):Member ID:Date of Birth (MMDDYYYY):RACE: (1Yes for all that apply; Blank No) White American Indicative
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Gather all necessary information and documents required for filling out the paperwork.
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Start by providing your personal information such as name, date of birth, address, and contact details.
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Fill out the sections related to your medical history, including any past diagnosis or treatment for behavioral health or substance use disorders.
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Individuals who are experiencing mental health issues such as depression, anxiety, PTSD, or other psychological disorders.
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Individuals who are struggling with substance abuse or addiction and require professional help and treatment.
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People who are in crisis situations and need immediate intervention and support for their behavioral health concerns.
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Behavioral health and substance abuse refer to the mental health and addiction services provided to individuals.
Healthcare providers and facilities offering behavioral health and substance abuse services are required to file.
You can fill out the necessary forms online or through a designated reporting system.
The purpose is to track and monitor the use and effectiveness of behavioral health and substance abuse services.
Information such as number of patients served, types of services provided, and outcomes of treatment must be reported.
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