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Get Primary Care Provider Behavioral Health Communication Form

Primary Care Provider Behavioral Health Communication Form Members Health Plan: Date: ATTENTION PCP: the patient listed below is currently receiving behavioral health services and has consented to.

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  1. Click on the Get Form option to start modifying.
  2. Turn on the Wizard mode on the top toolbar to get more pieces of advice.
  3. Fill in every fillable field.
  4. Ensure that the details you fill in Primary Care Provider Behavioral Health Communication Form is updated and accurate.
  5. Include the date to the form with the Date feature.
  6. Click the Sign icon and create a digital signature. You can use three available choices; typing, drawing, or capturing one.
  7. Re-check each area has been filled in correctly.
  8. Select Done in the top right corne to export the document. There are several options for getting the doc. An attachment in an email or through the mail as a hard copy, as an instant download.

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