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discharge opener (Type Dear Patient)
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Discharge for non payment
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Missed appointments
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Noncompliance with treatment recommendations.
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Move out of my treatment area
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Detail
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Provision of Refills.
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Referral statement LOCAL
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Referral Statement out of area
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Type: I do not know___but they were recommended by a colleague
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click this
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Referral-accepts most insurance
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Referral substance use
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Referral-medicaid/medicare
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Referral-intensive treatment
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Signature
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