Get the free SHIP Mental Health Referral Prior Notification to SHC - law uci

SHIP Mental Health Referral Prior Notification to SHE Insurance Office Required When a student with SHIP is referred to a Community Mental Health provider, the following protocol should be followed:

How to fill out ship mental health referral

How to fill out a ship mental health referral:

1. Obtain the necessary form: Contact your ship's medical department or designated provider to request the ship mental health referral form. They will provide you with the appropriate paperwork.
2. Fill in personal information: Begin by filling in your personal information on the referral form. This typically includes your name, date of birth, rank, department/division, and contact information. Make sure all the information is accurate and up to date.
3. Provide relevant details: Next, provide details about your mental health concerns or issues that require attention. Be specific and clear about the symptoms you are experiencing or the reasons for seeking mental health support. This will help the medical staff understand your needs better.
4. Mention your previous mental health history: If you have a history of mental health issues or have sought mental health support in the past, it's crucial to mention it in the referral form. Include any relevant diagnoses, treatments, or medications you have received before. This background information can assist the medical staff in devising an appropriate treatment plan.
5. Specify preferred provider or request: If you have a preferred mental health provider aboard the ship, you can indicate it in the referral form. Alternatively, you can request the medical department to assign a provider for you.
6. Enter emergency contact details: In the event of a mental health crisis or any emergency, it's important to provide the contact information of someone who can be reached. Include the name, relationship, and phone number of your designated emergency contact person.
7. Sign and date the referral: Once you have completed filling out the ship mental health referral form, make sure to sign and date it. By doing so, you acknowledge that the information provided is accurate to the best of your knowledge.

Who needs ship mental health referral?

Ship mental health referrals can be beneficial for any crew member who is experiencing mental health concerns or is in need of professional support. These referrals are often requested by individuals who are dealing with stress, anxiety, depression, relationship issues, emotional difficulties, or any other mental health condition that may impact their well-being and ability to perform their duties effectively. Whether you are an officer, crew member, or any other staff on the ship, if you feel the need for mental health assistance, a ship mental health referral can be instrumental in accessing the appropriate resources and support.

For pdfFiller’s FAQs

What is ship mental health referral?

Ship mental health referral is a form used to refer crew members for mental health evaluation and support.

Who is required to file ship mental health referral?

The ship's designated medical officer or healthcare provider is required to file ship mental health referral.

How to fill out ship mental health referral?

Ship mental health referral can be filled out by providing all necessary information about the crew member's mental health concerns and history.

What is the purpose of ship mental health referral?

The purpose of ship mental health referral is to ensure that crew members receive appropriate mental health evaluation and support while on board.

What information must be reported on ship mental health referral?

Ship mental health referral must include details about the crew member's mental health concerns, past medical history, and any medications being taken.

How can I modify ship mental health referral without leaving Google Drive?

It is possible to significantly enhance your document management and form preparation by combining pdfFiller with Google Docs. This will allow you to generate papers, amend them, and sign them straight from your Google Drive. Use the add-on to convert your ship mental health referral into a dynamic fillable form that can be managed and signed using any internet-connected device.

How do I fill out the ship mental health referral form on my smartphone?

The pdfFiller mobile app makes it simple to design and fill out legal paperwork. Complete and sign ship mental health referral and other papers using the app. Visit pdfFiller's website to learn more about the PDF editor's features.

How do I fill out ship mental health referral on an Android device?

On Android, use the pdfFiller mobile app to finish your ship mental health referral. Adding, editing, deleting text, signing, annotating, and more are all available with the app. All you need is a smartphone and internet.