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MBHP Materials Request Form
To order materials, please complete and submit this order form. You may also print this form and fax it with a cover page to: (617) 790-4125, attn: Ellen Youngclaus.
Requestor Name
*
Organization
Address 1
*
Address 2
City
*
State
*
Zip
*
Phone Number
(
)
(Area Code) Phone Number
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(Area Code) Fax Number
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*
Date of Request
mm/dd/yyyy
The following PDFs can be downloaded for your printing needs:
Appeals Fact Sheet: Your Rights as an MBHP Member [
English
] [
Spanish
]
Consumer Group Fact Sheet - Overview of MLA, DRA, PEP, and CQI [
English
] [
Spanish
]
Meeting list for Dual Recovery Anonymous (DRA) [
English
]
"What is a Grievance and How Do I File One?" [
English
] [
Spanish
]
Please note that there is a limit of fifty (50) copies per language for each item.
Material Title
Language
Quantity
Consumer Information Guide
English
Consumer Information Guide
Spanish
"Treating Depression" Brochure
English
"Treating Depression" Brochure
Spanish
"What is Depression?" fact sheet
English/Spanish
"How Can MBHP Help Me" Brochure
English
"How Can MBHP Help Me" Brochure
Spanish
Recovery, Health & Wellness Bulletin, 2009 edition*
English/Spanish
Recovery, Health & Wellness Bulletin, 2006 edition*
English/Spanish
Health Highlights (PCC Plan Member newsletter), current issue
English/Spanish
How's Your Child's Mental Health - Your Primary Care Clinician Wants to Know
English
How's Your Child's Mental Health - Your Primary Care Clinician Wants to Know
Spanish
Child Adolescent Well-Visit Schedule
English/Spanish
* The Recovery, Health, and Wellness Bulletin is no longer being produced; however there is a small inventory of the 2006 and 2009 newsletters if you would like hard copies. Back issues of The Recovery, Health and Wellness Bulletin can also be found
here
.
MBHP - Massachusetts Behavioral Health Partnership
100 High Street 3rd Floor, Boston, MA 02110 : 1-800-495-0086
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This page was last updated: 9/9/2010
