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Call 1-877-692-2922
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Behavioral Health Services Survey

Thank you for taking the time to participate in this quick survey. Your honest feedback is very important to us.

* Indicates required information

1.
How many patients do you see with a mental health and/or substance abuse diagnosis per month?
2.
Do you prescribe antidepressants or psychotropic medications for your patients?
 
 
 
3.
How many referrals do you make to BayCare Behavioral Health Services per month?
Instruction If you selected "None" for Question 3, please proceed to Question 5.
4.
Which BayCare Behavioral Health Services receives your referrals? Select all that apply.
5.
Do you refer to any other mental health organizations in the area? Select all that apply.

If Other, please specify:

6. *
Please use the space below to type your speciality and where your practice is located.
7.
Please use the space below to provide suggestions on how BayCare Behavioral Health Services can improve its services.

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