Professional Experience Survey & Contact Information

If interested in learning more about becoming a CANS Certified Provider within the Louisiana Coordinated System of Care (CSoC), please complete our brief Professional Experience Survey & Contact Information.

* 1. First Name

* 2. Middle Initial

* 3. Last Name

* 4. Job Title

* 5. Name of Employer

* 6. Email Address

* 7. Phone Number

* 8. Parish(s) covered in professional work

* 9. Are you licensed?

* 10. Do you currently provide any contracted service with Magellan Health Services / LA Behavioral Health Partnership (LBHP), either independently, group practice or through an organization?

* 11. Do you currently provide CANS assessments outside of the Coordinated System of Care (CSoC)?

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