Friday, March 12, 2010
   
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Behavioral Health More Information Request

Would you like more information? Need assistance or have questions regarding behavioral health? Please complete and submit the form below. The requested materials will be mailed to you on the next business day. If you would like to speak with a Behavioral Health Nurse, please provide your phone number along with your question or comments.

If you are in need of immediate help, call 911, go to the nearest emergency room or call your doctor, therapist or social worker for help. If you have a problem and need to speak to someone at The Health Plan, call the phone number listed on your ID card. This number, 1.877.221.9295, is answered 24-hours a day.

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Please type your First Name

 
Please type your Last Name

 
Please include your phone number. Do not include spaces

 
Please include your Address

 
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