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DHS I&R Desk Community Referral Packet 1 Last updated in June 2011 Allegheny County Department of Human Services Office of Community Relations DHS Information & Referral Desk 412-350-6778 or 412-350-2441

How to fill out dhs community referral packet

How to fill out the DHS community referral packet:

1. Gather all necessary information: Make sure you have the individual's full name, contact information, date of birth, and any relevant identification numbers.
2. Complete the demographic section: Provide demographic details such as gender, race, ethnicity, and primary language spoken.
3. Fill out the referral information: Indicate the reason for the referral and provide any relevant supporting documents or information.
4. Include the individual's medical history: Include any known medical conditions, medications, allergies, and previous medical treatments.
5. Provide social history: This includes information about the individual's living situation, support system, and any relevant social factors.
6. Complete the financial information section: Include details about the individual's income, insurance coverage, and any financial assistance they may be receiving.
7. Sign and date the packet: Make sure to sign and date the referral packet to indicate that the information provided is accurate.

Who needs the DHS community referral packet?

1. Individuals seeking assistance: Those who require supportive services from the Department of Health and Human Services (DHS) may need to fill out a community referral packet.
2. Caregivers or family members: If someone is filling out the referral packet on behalf of an individual in need, they will also require the packet.
3. Healthcare professionals or social workers: Professionals who are referring a client or patient to DHS for support services will need to complete and submit the referral packet.

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What is dhs community referral packet?

DHS community referral packet is a document that contains information about individuals or families who are in need of community services and support from the Department of Human Services.

Who is required to file dhs community referral packet?

Individuals or families who require community services and support from the Department of Human Services are required to file the DHS community referral packet.

How to fill out dhs community referral packet?

To fill out the DHS community referral packet, individuals or families need to provide information about their specific needs and circumstances, along with any supporting documentation requested by the Department of Human Services.

What is the purpose of dhs community referral packet?

The purpose of the DHS community referral packet is to collect relevant information about individuals or families who require community services and support, in order to assess their eligibility and provide appropriate assistance.

What information must be reported on dhs community referral packet?

The DHS community referral packet typically requires information such as personal details, contact information, current living situation, income, and specific needs or reasons for seeking community services and support.