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Please be aware that inquiries and email boxes are not monitored 24/7. If this is an emergency situation, do one of the following: Call 911, go directly to an emergency room, or call your doctor or therapist for help.

DO NOT COMPLETE THIS FORM IF YOU ARE A MAGELLAN COMPLETE CARE MEMBER OR PROVIDER. Magellan Complete Care (MCC) is now owned by Molina Healthcare, and Magellan cannot respond to MCC inquiries submitted on this form. Click here to go to Molina’s website.