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GENERAL HEALTH QUESTIONNAIRE PATIENT NAME:DOB:AGE: GENDER: MSSN (for insurance purposes):F Best Contact Number for Appointment Reminders:Address:Preferred Method of Appointment Reminder (circle one):
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Berkeley Community Mental refers to mental health services and resources available within the Berkeley community aimed at supporting individuals with mental health challenges.
Individuals and organizations involved in mental health services or research in Berkeley may be required to file Berkeley community mental documents.
To fill out Berkeley Community Mental forms, gather required information, fill in personal and organizational details, and provide any necessary documentation as specified in the guidelines.
The purpose of Berkeley Community Mental is to provide a framework for reporting mental health services, ensuring accountability, and enhancing community well-being.
Information that must be reported includes service type, number of clients served, outcomes, and demographic data.
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