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1240 N. Highland Ave., Suite 5, Aurora, IL 60506 Phone (630) 4443040 Fax (630) 8978123 1750 Grandstand Place, Elgin, IL 60123 Phone (630) 4443040 Fax (847) 8886458www.telehealth.com2023 Application
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Begin by providing accurate personal information such as name, age, address, and contact details.
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Describe any current or past mental health concerns or issues that you have experienced.
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Be honest and open about your thoughts and feelings to help the healthcare provider accurately assess your mental health.

Who needs behavioral and mental health?

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Anyone who is experiencing symptoms of a mental health disorder such as depression, anxiety, or PTSD.
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Behavioral and mental health refers to the emotional, psychological, and social well-being of an individual.
Individuals who are experiencing mental health issues or seeking treatment for behavioral health concerns are required to report their behavioral and mental health.
Behavioral and mental health can be filled out by individuals through self-reporting or by healthcare providers through assessments and evaluations.
The purpose of behavioral and mental health reporting is to track and monitor the mental wellness of individuals and provide appropriate treatment and support.
Information such as symptoms, diagnoses, treatments, medications, and progress must be reported on behavioral and mental health forms.
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