Get the free FAX: 252-337-7911 ADULT BEHAVIORAL HEALTH REFERRAL ...

ADULT BEHAVIORAL HEALTH REFERRAL MUST BE 18 OR OLDER Patient has requested a referral to the ARHS Behavioral Health Program. Patient Name:Date of Birth:Address:City/State:Contact: Phone (Cell) Spanish

How to fill out fax 252-337-7911 adult behavioral

How to fill out fax 252-337-7911 adult behavioral

1. Obtain a copy of the fax form for adult behavioral services.
2. Fill out the patient's personal information, including full name, date of birth, and contact information.
3. Provide the referring physician's information, including name, contact number, and address.
4. Detail the specific behavioral health services required, including any relevant diagnosis or treatment history.
5. Include any necessary insurance information, if applicable.
6. Review the form for accuracy and completeness.
7. Send the completed form to fax number 252-337-7911.

Who needs fax 252-337-7911 adult behavioral?

1. Individuals seeking behavioral health services.
2. Referring healthcare providers who need to refer patients for adult behavioral treatment.
3. Insurance companies requiring documentation for treatment approval.
4. Support staff assisting patients in accessing behavioral health services.

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What is fax 252-337-7911 adult behavioral?

Fax 252-337-7911 is a communication line used for sending documents related to adult behavioral health services.

Who is required to file fax 252-337-7911 adult behavioral?

Healthcare providers, mental health professionals, and organizations involved in adult behavioral health services are typically required to file documents using this fax.

How to fill out fax 252-337-7911 adult behavioral?

To fill out the fax, include the recipient's name, the sender's information, relevant patient details, and attach any necessary documentation according to the requirements of adult behavioral health services.

What is the purpose of fax 252-337-7911 adult behavioral?

The purpose of the fax is to facilitate secure communication and the exchange of important information regarding adult behavioral health between providers and agencies.

What information must be reported on fax 252-337-7911 adult behavioral?

Information that must be reported includes patient identification, treatment details, assessment results, and any other relevant clinical information necessary for continuity of care.