Maine Behavioral Health Referral Form

Listing Websites about Maine Behavioral Health Referral Form

Provider Referrals MaineHealth

(Just Now) WEBProvider Referrals. If you are a health care professional looking to refer a client, please choose from the following: General outpatient therapy and psychiatry services - MBH …

https://www.mainehealth.org/maine-behavioral-healthcare/health-care-professionals/provider-referrals

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Provider Referral to Maine Behavioral Healthcare

(2 days ago) WEBProvider Referral to Maine Behavioral Healthcare Accessible, responsive, comprehensive, integrated community mental health and substance abuse treatment and support …

https://assets.mainehealth.io/s3fs-public/imported_images/ProviderReferralForm.pdf

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Policies & Forms - Maine Behavioral Health

(2 days ago) WEBPolicies & Forms. Welcome to the Maine Behavioral Health Organization's Forms and Policies hub. Access essential documents to ensure smooth and ethical operations …

https://www.mainebehavioralhealth.org/PoliciesForms/

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ACT Referral - MaineHealth

(9 days ago) WEBMAINE BEHAVIORAL HEALTHCARE - ACT REFERRAL Page 1 of 2 PATIENT LABEL HERE 144600 5/16/2023 DocType: Referrals Description: ACT Referral Clinical Form …

https://assets.mainehealth.io/s3fs-public/imported_images/ACT-referral-form.pdf

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Provider Forms Department of Health and Human Services

(5 days ago) WEBThe Office of Behavioral Health is no longer accepting submissions of Critical Incident Reports via fax, email, mail, etc. Organizations that do not currently use …

https://www.maine.gov/dhhs/obh/providers/provider-forms

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OBH Home Department of Health and Human Services

(Just Now) WEBIf you are a patient who is unable to access your addiction prescriber, or if you want to start treatment for addiction, this guide is a first step. Maine Crisis Line (MCL): 888-568-1112: …

https://www.maine.gov/dhhs/obh

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Resources - Kennebec Behavioral Health

(1 days ago) WEBPrimary Care Physician Referral Form (note: For Maine Dept. of Corrections referrals only: Kennebec Behavioral Health’s mission is to promote the well-being of persons …

https://www.kbhmaine.org/forms/

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Assertive Community Treatment (ACT) MaineHealth

(6 days ago) WEBAssertive Community Treatment (ACT) is an intensive community based (outpatient) treatment program with a multi-disciplinary team of providers that supports eligible adults …

https://www.mainehealth.org/maine-behavioral-healthcare/care-and-services/community-care-and-treatment/assertive-community-treatment-act

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Maine Behavioral Health Organization, Mental Health, Substance …

(7 days ago) WEBMaine Behavioral Health Organization, offering children/adult case management, outpatient counseling, med management, MHRT/C Classes, serving Maine, located in …

https://www.mainebehavioralhealth.org/mbho-form

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Maine Behavioral Health Organization, Mental Health, Substance …

(3 days ago) WEBOr 711 (Maine Relay) For individuals or families experiencing behavioral health crisis or having thoughts of suicide/self-harm. Trained crisis call specialist answer the line and …

http://mainebehavioralhealth.org/

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0%+2 5HIHUUDO )RUP - mainebehavioralhealth.org

(Just Now) WEBDate Referral Received: Time Received: Insurance Verification Information: Date Verified: Verified by: Send to: 30 Leavitt St. Skowhegan, ME. 04976 Phone: 1-888-922-4736 Fax: …

https://www.mainebehavioralhealth.org/pdf/Referrral-Form.pdf

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Children’s Behavioral Health Programs and Services

(9 days ago) WEBChildren’s Behavioral Health Services (CBHS) facilitates the provision of services for the benefit of Maine children, youth, and families. While CBHS is not a direct-service …

https://www.maine.gov/dhhs/ocfs/support-for-families/childrens-behavioral-health/services

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Providers Department of Health and Human Services - Maine DHHS

(Just Now) WEBMental Health Services. Contact: Patrick Bouchard or Angie Newhouse. Phone: (207) 592-3297 or (207) 287-7095 Email: [email protected] or …

https://www.maine.gov/dhhs/obh/providers

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Child & Family Services - Kennebec Behavioral Health

(6 days ago) WEBHCT is a MaineCare-funded service in which a Behavioral Health Professional provides an intensive, time-limited home and community-based intervention and treatment services …

https://www.kbhmaine.org/services/child-family-services/

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Authorizations and Referrals - Publication - Maine

(7 days ago) WEBPhysical Therapy Request for Chronic Pain Form. 68 KB. 8/27/2018 4:00:00 AM. Physical Therapy Request for Chronic Pain Form (PDF) 111 KB. 08/27/2018. Prior …

https://mainecare.maine.gov/Provider%20Forms/Authorizations%20and%20Referrals

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Utilizing the Early and Periodic Screening, Diagnosis, and …

(Just Now) WEBFor services that ARE behavioral/mental health services, authorizations are processed through Acentra Health. Providers should submit supplemental information …

https://www1.maine.gov/dhhs/oms/providers/provider-bulletins/utilizing-early-and-periodic-screening-diagnosis-and-treatment-epsdt-program-children-and

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Presque Isle VA Clinic VA Maine Health Care Veterans Affairs

(Just Now) WEBVA Maine Healthcare System supports the health, welfare, and dignity of female Veterans and their families by ensuring equal access to timely, sensitive, and …

https://www.va.gov/maine-health-care/locations/presque-isle-va-clinic/

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