Companion Benefit Alternatives, Inc.
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Facility-Based Treatment
Outpatient Medication Management
Outpatient Mental Health Treatment
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SC Department of Mental Health Treatment
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Facility-Based Treatment Form
Outpatient Medication Management
Initial Outpatient Mental Health Treatment Request
Outpatient Substance Use Disorder Treatment Request
SC Department Of Mental Health Initial Outpatient Treatment Request
Provider Application Form
Peer to Peer Request Form
Claim Support Request
SC Certified EmPATH Units Treatment Request
Discharge Form
MAT Request - Medical Assisted Treatment Form
Continued Outpatient Mental Health Treatment Request
SC Department Of Mental Health Continued Outpatient Treatment Request
Extended Outpatient Mental Health Treatment Request
Outpatient Mental Health Treatment Request
Psychological/Neuropsychological Testing Preauthorization Request Form
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Request for Health Coaching Form
Request for Health Coaching Form
Program Requested:
Health Coaching for Depression
MOMS Support Program
Recovery Support Program
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