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Davis Behavioral Health 934 South Main Street, Layton, UT 84041 / P H : (801) 7737060AUTHORIZATION TO USE AND DISCLOSE HEALTH INFORMATION FOR PURPOSES OTHER THAN TREATMENT, PAYMENT, AND OPERATIONSName: Address: City: Former
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Obtain the Davis Behavioral Health Behavioral form from the designated location or website.
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Fill out the personal information section including your name, date of birth, address, and contact information.
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Provide detailed information about your current behavioral health concerns and any past treatment or therapy.
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Answer all questions honestly and accurately to help professionals assess your needs effectively.
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Review the completed form for any errors or missing information before submitting it to Davis Behavioral Health.

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Individuals experiencing mental health issues such as depression, anxiety, substance abuse, or other behavioral disorders may benefit from seeking support from Davis Behavioral Health Behavioral services.
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Davis Behavioral Health is a mental health and substance abuse treatment provider.
Individuals or entities providing behavioral health services are required to file.
The form can be filled out electronically or by mail with the required information.
The purpose is to track and report behavioral health services provided to individuals.
Information such as types of services provided, number of clients served, and outcomes of treatment.
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