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AFORTS
Behavioral
Health Referral: DEANA FLYNN, MSNBC
Phone: 9105361719
Fax: 9106688048
From:
Phone:
Fax:
Date:
Regarding: Patient referralPATIENT NAME:___DOB:___PATIENT TELEPHONE:___PURPOSE OF REFERRAL:___Insurance:___Diagnosis/Problem:___We
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01
Gather all necessary personal information such as name, address, phone number, and date of birth.
02
Fill out the patient's medical history, including past medical conditions, medications, and allergies.
03
Provide details of the reason for the visit and any symptoms the patient is experiencing.
04
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05
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06
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Who needs to deana flynn pmhnp-bc?
01
Individuals seeking psychiatric mental health care may need to see Deana Flynn PMHNP-BC, who is a board-certified psychiatric mental health nurse practitioner. Patients with mental health concerns such as depression, anxiety, bipolar disorder, or other psychiatric conditions may benefit from her expertise and treatment approaches.
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What is to deana flynn pmhnp-bc?
To Deana Flynn PMHNP-BC is a form used to report psychiatric mental health nurse practitioner credentials.
Who is required to file to deana flynn pmhnp-bc?
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The purpose of To Deana Flynn PMHNP-BC is to ensure that all psychiatric mental health nurse practitioners are properly credentialed and licensed.
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