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VENTURA COUNTY PUBLIC HEALTH Family Support Services Referral *** PLEASE FAX REFERRAL TO (805) 6547610*** REFERRING Date of Referral: PARTY 'i 'Y '! ' '! Y INFORMATION Remedy: Phone: Fax: Agency:
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How to fill out referring party information:

01
Start by locating the section for referring party information on the form.
02
Fill in the name of the referring party in the designated field. This could be a person or an organization.
03
Provide the contact information of the referring party, including their phone number, email address, and any other relevant details.
04
If applicable, indicate the relationship between the referring party and the person or situation being referred.
05
Double-check all the information filled out to ensure accuracy and completeness.
06
Submit the form with the referring party information included.

Who needs referring party information:

01
Medical professionals: When referring patients to other specialists or healthcare providers, it is essential to include the referring party information for seamless communication and continuity of care.
02
Legal professionals: Attorneys or law firms may require referring party information when referring clients to other lawyers or legal services.
03
Social service agencies: When referring individuals or families to other support services, social service agencies need to provide referring party information to facilitate the process.
04
Insurance companies: When policyholders or claimants are referred for specific services or evaluations, insurance companies may request referring party information to validate the referral.
Note: The specific individuals or organizations that need referring party information may vary depending on the context or industry. It is important to consult the given guidelines or requirements for accurate information.
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Referring party information includes details about the individual or entity that referred a potential client or customer to a business.
Any business that receives referrals and wants to track and report on them may be required to file referring party information.
Referring party information can be filled out by providing the name, contact information, and any relevant details about the referring individual or entity.
The purpose of referring party information is to track and report on referrals, measure the effectiveness of referral programs, and potentially compensate or reward the referring parties.
The information reported on referring party information may include the name, contact information, date of referral, nature of the referral, and any resulting business or transactions.
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