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Date Staffed by PAD: Results: SUPPORTED LIVING REFERRAL AND SCREENING TOOL Referral to be completed by WSC and submitted with Support Plan and Support Planning Information Form to the Supported Living

How to fill out supported living referral and

How to fill out a supported living referral:

1. Gather all necessary information: Make sure to collect all relevant personal details of the individual who needs the referral, including their name, address, contact information, and any pertinent medical or psychological information.
2. Identify the need for supported living: Before filling out the referral, determine the specific reasons why the person requires supported living. This could be due to physical disabilities, mental health conditions, or any other factors that hinder their ability to live independently.
3. Contact the appropriate agency: Research and reach out to the designated agency responsible for supported living referrals in your area. This could be a government agency, a non-profit organization, or a specific department within a healthcare facility.
4. Obtain the referral form: Obtain the supported living referral form from the agency. This form might be available online or can be obtained by contacting the agency directly. Ensure that you have the most up-to-date version of the form.
5. Complete the referral form accurately: Fill in all the required fields in the referral form, providing detailed information about the individual's needs, medical history, and any relevant documentation or assessments that may support their case for supported living. Be thorough and concise while providing the necessary information.
6. Attach supporting documents: If there are any additional documents that support the need for supported living, such as medical reports, assessments, or letters from healthcare professionals, make sure to include them with the referral form.
7. Review and double-check: Before submitting the referral, carefully review all the information entered on the form. Ensure that there are no errors or missing details that could delay the processing of the referral.
8. Submit the referral: Once you are confident that the referral is complete and accurate, submit it to the designated agency either by mail, email, or through their online submission process. Follow any specific instructions provided by the agency to ensure a seamless submission.

Who needs supported living referral:

1. Individuals with physical disabilities: Some individuals with physical disabilities might require supported living services to assist them in activities of daily living, such as personal care, meal preparation, and mobility assistance.
2. Individuals with mental health conditions: People with severe mental health conditions, such as schizophrenia or bipolar disorder, may need supported living services to ensure they receive proper care, medication management, and support for independent living.
3. Elderly individuals: Seniors who may have difficulty living independently due to physical limitations or cognitive decline can benefit from supported living services that provide assistance with personal care, household tasks, and medication management.
4. Individuals with developmental disabilities: Those with developmental disabilities, such as autism or intellectual disabilities, might require supported living to support their daily living skills, social integration, and community participation.
5. Individuals transitioning from institutional settings: People who are transitioning from institutional settings, such as hospitals or group homes, may need supported living referrals to help them reintegrate into community living and maintain their independence with the necessary support.

In summary, the supported living referral process involves gathering relevant information, identifying the need for supported living, contacting the appropriate agency, obtaining the referral form, accurately completing the form, attaching supporting documents, reviewing and double-checking the information, and finally submitting the referral. Supported living referrals are commonly required by individuals with physical disabilities, mental health conditions, elderly individuals, those with developmental disabilities, and individuals transitioning from institutional settings.

For pdfFiller’s FAQs

What is supported living referral?

Supported living referral is a process where individuals with disabilities are connected to appropriate services and resources to help them live independently.

Who is required to file supported living referral?

Social workers, healthcare professionals, family members, or individuals themselves can file supported living referral.

How to fill out supported living referral?

Supported living referral can be filled out online on the designated platform or submitted through a physical form to the appropriate agency.

What is the purpose of supported living referral?

The purpose of supported living referral is to assess the needs of individuals with disabilities and connect them to services that will support their independent living.

What information must be reported on supported living referral?

Personal information, medical history, disabilities, current living situation, and specific needs of the individual must be reported on supported living referral.

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