Clinician Inquiry
Please offer sufficient details so that we may promptly answer your question.
First Name
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Last Name
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Email
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Is your question about a Simple Practice chart?
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Copy and past the Simple Practice URL
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For claim and billing inquiries, please provide the dates of service in question.
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Submit your question or request.
How urgent is your question?
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Please Select
1 - Critical - 24 hours (Also send an email to pbh@psychologicalbehavioralhealth.com)
2 - Urgent - Would like a response within 5 working days.
3 - Important - Would like a response within 10 working days.
4 - Would like a response within 14 working days.
Date
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Month
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Day
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Date
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