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APPLICATION FOR EMPLOYMENT United Services, Inc., 1007 North Main Street Danville, CT 06241 Telephone: (860) 7742020 Fax: (860) 7740095Attention: Human Resources Revised10/2021Please fill in the application

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United Services Mental Health and is a form used to report mental health services provided by various healthcare providers.

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Healthcare providers such as hospitals, clinics, and private practices are required to file United Services Mental Health and.

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The purpose of United Services Mental Health and is to track and report mental health services provided to patients for billing and research purposes.

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Information such as patient demographics, diagnosis codes, treatment provided, and billing information must be reported on United Services Mental Health and.

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