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BHConnect: PreScreening and Referral (858) 3782093 fax (858) 2272953 Client Data Client Name:___DOB:___ Referral Facility:___Home Address:___ Apt #___ City:___ Zip Code___ Cell Phone: ___ Alt. Phone:

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How to fill out bhconnect pre-screening and referral

01

Step 1: Visit the bhconnect website and click on the pre-screening and referral form.

02

Step 2: Fill out your personal information including name, contact details, and reason for seeking services.

03

Step 3: Answer the questionnaire honestly and provide any additional information that may be relevant.

04

Step 4: Submit the form and wait for a response from a healthcare provider.

05

Step 5: Follow any instructions given by the healthcare provider for next steps.

Who needs bhconnect pre-screening and referral?

01

Individuals who are seeking mental health or substance abuse services.

02

People who are looking for a referral to a healthcare provider for their specific needs.

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What is bhconnect pre-screening and referral?

Bhconnect pre-screening and referral is a process used to determine the appropriate level of care for individuals seeking behavioral health services.

Who is required to file bhconnect pre-screening and referral?

Healthcare providers and facilities are required to file bhconnect pre-screening and referral for patients seeking behavioral health services.

How to fill out bhconnect pre-screening and referral?

Bhconnect pre-screening and referral can be filled out online or through a paper form provided by the healthcare provider.

What is the purpose of bhconnect pre-screening and referral?

The purpose of bhconnect pre-screening and referral is to ensure that individuals receive the appropriate level of care for their behavioral health needs.

What information must be reported on bhconnect pre-screening and referral?

Information such as patient demographics, presenting issues, and previous treatment history must be reported on bhconnect pre-screening and referral.

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