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AUTHORIZATION FOR USE AND DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) FOR REFERRAL TO CARE CONNECTED TELEPSYCHOLGY COGNITIVE BEHAVIORAL THERAPY (Select) SERVICES This authorization allows the
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How to fill out care connected telecbt referral
How to fill out care connected telecbt referral
01
First, go to the Care Connected website and log in to your account.
02
Navigate to the referral section and select the option for teleCBT services.
03
Fill out the referral form with the required patient information, including contact details and reason for referral.
04
Submit the referral form and wait for confirmation from the teleCBT provider.
05
Once approved, schedule an appointment for the teleCBT session and follow any additional instructions provided.
Who needs care connected telecbt referral?
01
Individuals who are experiencing symptoms of mental health issues, such as anxiety, depression, or trauma, may benefit from a care connected teleCBT referral.
02
Patients who are unable to attend in-person therapy sessions or prefer the convenience of receiving therapy remotely may also benefit from this service.
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What is care connected telecbt referral?
Care connected telecbt referral is a process where individuals are referred to receive cognitive behavioral therapy remotely through telecommunication devices.
Who is required to file care connected telecbt referral?
Healthcare providers or professionals who recommend cognitive behavioral therapy for their patients are required to file care connected telecbt referral.
How to fill out care connected telecbt referral?
Care connected telecbt referral can be filled out by providing patient information, reason for referral, and preferred method of telecommunication for therapy sessions.
What is the purpose of care connected telecbt referral?
The purpose of care connected telecbt referral is to provide patients with access to cognitive behavioral therapy remotely, making it more convenient and accessible for those in need.
What information must be reported on care connected telecbt referral?
Information such as patient's name, contact details, referring healthcare provider, reason for referral, and preferred method of communication for therapy sessions must be reported on care connected telecbt referral.
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