Get the free DBHIDS Integrated Intake Application Packet
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DATE:ADULT BEHAVIORAL HEALTH REFERRAL MUST BE 18 OR OLDERPHYSICIAN:FAX: Patient has requested a referral to the ARMS Behavioral Health Program. Patient Name:Date of Birth:Address:City/State:Zip:Contact:
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How to fill out dbhids integrated intake application
How to fill out dbhids integrated intake application
01
Gather all necessary documents such as identification, insurance information, and documentation of any previous treatment.
02
Visit the DBHIDS website and navigate to the Integrated Intake Application page.
03
Download and fill out the application form completely and accurately.
04
Submit the application form along with any required documents either online or in person at a DBHIDS location.
05
Wait for a response from DBHIDS regarding the status of your application.
Who needs dbhids integrated intake application?
01
Individuals seeking behavioral health services in Philadelphia.
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What is dbhids integrated intake application?
The dbhids integrated intake application is a comprehensive form used to assess and intake individuals seeking mental health services in Philadelphia.
Who is required to file dbhids integrated intake application?
Individuals seeking mental health services in Philadelphia are required to file dbhids integrated intake application.
How to fill out dbhids integrated intake application?
To fill out the dbhids integrated intake application, individuals need to provide personal information, medical history, and details about their mental health needs.
What is the purpose of dbhids integrated intake application?
The purpose of the dbhids integrated intake application is to assess individuals' mental health needs and provide appropriate services and support.
What information must be reported on dbhids integrated intake application?
The dbhids integrated intake application requires information about personal details, medical history, mental health symptoms, and any previous treatment.
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