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Dec.10.2019 08:43 RAMPAGE.it CenterTM751 MOUNTAIN VIEW RAPID CITY, SD 57702 (605) 3991377 FAX (605) 3949110TELEFAX COVER SHEETI2 o//, UA Haas 1LB\” KEN PARK FAMILY THRIFT CENTER WEST :ES INCLUDING
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Visit the Monument Health Behavioral Health website or contact their office to obtain the necessary forms.
02
Fill out personal information such as name, date of birth, address, and contact information.
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Provide details about your medical history, including any mental health diagnoses or treatments.
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Complete any questionnaires or assessments provided by Monument Health Behavioral Health.
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Submit the completed forms either online, by mail, or in person at their office.

Who needs monument health behavioral health?

01
Individuals seeking mental health services or support
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Individuals experiencing behavioral health issues such as anxiety, depression, or substance abuse
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Patients referred by their primary care physician or a specialist for additional mental health treatment
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Monument Health Behavioral Health is a program that provides mental health services to individuals in need.
Healthcare providers and organizations that offer mental health services are required to file monument health behavioral health.
Monument Health Behavioral Health forms can be filled out online or submitted through mail.
The purpose of monument health behavioral health is to track and monitor mental health services provided to patients.
Information such as patient demographics, type of services provided, and billing details must be reported on monument health behavioral health.
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