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Southwest Behavioral & Health Services Intake/Annual Consent Packet Acknowledgement Member\'s NameSSNAddress, City, State Zip DOB Phone have received a copy of the Southwest Behavioral and Health
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Southwest Behavioral & Health Services is a non-profit organization that provides behavioral health services to individuals and families in Arizona.
Licensed professionals and providers who are contracted with Southwest Behavioral & Health Services are required to file.
To fill out Southwest Behavioral & Health Services forms, providers must accurately report client information, services provided, and any payments received.
The purpose of Southwest Behavioral & Health Services is to ensure that individuals receive the behavioral health care they need.
Providers must report client demographics, diagnosis, treatment plans, services provided, and any payments received from Southwest Behavioral & Health Services.
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