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REFERRED BY: ___ PHONE: ___ FAX: ___SFAP MEMBER REFERRAL FORM licensed medical provider must fill out and sign this form. For SFAP members only. Subject to eligibility. Send completed applications

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Fill out your personal information accurately, including name, date of birth, and contact information.

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Individuals who are experiencing mental health issues such as depression, anxiety, bipolar disorder, or other psychiatric conditions.

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Individuals who are seeking professional mental health services and therapy to address their emotional and psychological needs.

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What is carelon behavioral health inc?

Carelon Behavioral Health Inc is a mental health provider that offers a range of behavioral health services.

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Carelon Behavioral Health Inc is required to file by the owners or authorized representatives of the company.

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To fill out Carelon Behavioral Health Inc, one must provide details about the company's financial information, services provided, and any changes in ownership.

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