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  8/5/2021 11:04 AM        36657 ACBH Adult Outpatient Mental Health Services Referral Form.docx
 1/28/2020  2:43 PM       454543 ACBH Adult Outpatient Mental Health Services Referral Form.pdf
 6/30/2015  9:01 AM       626779 ACBHCS_Psy_Testing_Auth_Request.pdf
 6/30/2015  9:01 AM      3071250 ACBHCS_Psy_Testing_Protocol.pdf
 6/30/2015  8:11 AM       306157 Adult_BH_Screen_Fillable.pdf
 6/30/2015  8:11 AM       540032 Adult_BH_Screening_Form.pdf
 6/30/2015  9:01 AM       362484 Benefit_Reg_Prior_Consult.pdf
 4/29/2016 12:49 PM       109254 Bi-Directional _Transition_Form.pdf
 4/29/2016 12:49 PM       350598 Bi-Directional_Transition_Form_Fillable.pdf
 6/30/2015  8:11 AM        89462 Child_0-5_BH_Screen_Fillable.pdf
 6/30/2015  8:11 AM       501170 Child_0-5_BH_Screening.pdf
 6/30/2015  8:11 AM        90822 Child_6-17_BH_Screen_Fillable.pdf
 6/30/2015  8:11 AM       512163 Child_6-17_BH_Screening.pdf
 2/26/2019  9:22 AM        88641 ChildYouth_FSP_Wraparound_Referral_Form.pdf
 8/22/2016  3:29 PM        47687 Fax_Cover_Referrals_SMHS.pdf
  9/6/2016  9:49 AM       401836 Fax_Cover_Referrals_SMHS_Fillable.pdf
 6/30/2015  9:01 AM       198694 Health_Summary_Form.pdf
 6/30/2015  9:01 AM      1100260 HealthPAC_Elig_Proc_SMHS.pdf
 6/30/2015  9:01 AM       682634 HealthPAC_PC_BH_ref_init_risk_assmnt.pdf
 2/22/2016  2:59 PM        58648 Medical_Necessity_Specialty_MH_Services.pdf
 8/22/2016  3:29 PM        50985 Referral_Proc_Primary_Care.pdf
 8/22/2016  3:29 PM        24694 Req_Prior_Consultation.pdf
 2/22/2016  2:59 PM       122776 Screening_Tool_Referral_Instructions.docx
 8/16/2017  9:54 AM       108760 Screening_Tool_Referral_Instructions.pdf
 8/16/2017  9:54 AM       222326 Screening_Tool_Training_FAQs.pdf
 2/26/2019  9:22 AM       133515 TAY_Referral_Form.pdf
 2/26/2019  9:22 AM       575776 TAY_Referral_Form_Fillable_Final_02-19.pdf