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Fiscal Year 2019 Substance Use Disorder Treatment Contractual Agreement Between Misstate Health Network 530 W. Ionic, Ste. F Lansing, MI 48933 5172537525 And PROVIDER (as a Subrecipient as that term
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Fill out the necessary personal information such as name, address, and contact details.
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Provide information about your current substance use and any past treatment or therapy received.
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Include details about any medications you are currently taking and any medical conditions you have.
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Be thorough and honest in your responses to ensure accurate treatment recommendations.

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Individuals struggling with substance use disorders who are seeking treatment and support.
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People who are looking for a structured program to help them overcome addiction and improve their overall well-being.
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Mid-State Health Network Substance refers to the required information that healthcare providers must report regarding their network participation and services rendered.
All healthcare providers who are part of the Mid-State Health Network are required to file the substance.
Healthcare providers can fill out the Mid-State Health Network Substance form online or through a designated portal provided by the network.
The purpose of the Mid-State Health Network Substance is to collect data on network participation and services to ensure quality and compliance.
Healthcare providers must report information such as services provided, patient demographics, network affiliations, and any other relevant data.
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