Get the free IHS GUEST REFERRAL FORM INSTRUCTIONS - ihshawaii

Karachi Women/Family Shelter Sumner Men Shelter pH (808)8457052 Fax (808) 8457357 pH (808) 5372724 Fax (808) 5372697 546 Karachi Street Honolulu, HI 96817 IHS Hospital REFERRAL FORM 350 Sumner Street

How to fill out ihs guest referral form

How to fill out the IHS Guest Referral Form:

1. Start by carefully reading the instructions provided on the form. This will help you understand the purpose and requirements of the form.
2. Begin by providing your personal information, such as your name, address, and contact details. Make sure to provide accurate and up-to-date information.
3. Indicate the reason for the referral. Specify whether it is for emergency shelter, transitional housing, or another type of service.
4. If you have a case manager or referring agency, include their contact information and any relevant details they may require.
5. Provide details about your current living situation, including whether you are homeless, living in substandard housing, or facing an imminent eviction.
6. If applicable, mention any special needs or circumstances that may require additional support or accommodations.
7. Complete all the required sections of the form, ensuring that all fields are filled out correctly and legibly.
8. Review the completed form to ensure accuracy and completeness. Make any necessary corrections or additions before submitting it.
9. Sign and date the form to certify that the information provided is true and accurate to the best of your knowledge.
10. Submit the form to the appropriate intake or referral office as instructed, ensuring that you keep a copy for your records.

Who needs the IHS Guest Referral Form?

1. Individuals or families who are experiencing homelessness and are seeking assistance with shelter, transitional housing, or related services.
2. Anyone who is living in substandard housing conditions or facing an imminent eviction and requires support from the Indian Health Service (IHS) or its partner organizations.
3. People who have a case manager or a referring agency working on their behalf to secure suitable housing or emergency shelter through IHS.
4. Those with special needs, such as individuals with disabilities, mental health concerns, or substance abuse issues, who could benefit from the resources and services provided by IHS.

Remember, it is crucial to consult the specific guidelines and instructions provided with the IHS Guest Referral Form, as they may vary depending on your location and the intended services.

For pdfFiller’s FAQs

What is ihs guest referral form?

The IHS guest referral form is a document used to refer guests to IHS facilities for services or accommodations.

Who is required to file ihs guest referral form?

Healthcare professionals or social workers who need to refer guests to IHS facilities are required to file the IHS guest referral form.

How to fill out ihs guest referral form?

To fill out the IHS guest referral form, individuals must include all relevant guest information, reason for referral, and any necessary supporting documentation.

What is the purpose of ihs guest referral form?

The purpose of the IHS guest referral form is to ensure that guests receive the appropriate services and accommodations at IHS facilities.

What information must be reported on ihs guest referral form?

The IHS guest referral form must include guest's name, contact information, reason for referral, healthcare needs, and any relevant medical history.

How do I make changes in ihs guest referral form?

With pdfFiller, the editing process is straightforward. Open your ihs guest referral form in the editor, which is highly intuitive and easy to use. There, you’ll be able to blackout, redact, type, and erase text, add images, draw arrows and lines, place sticky notes and text boxes, and much more.

How do I edit ihs guest referral form straight from my smartphone?

The pdfFiller apps for iOS and Android smartphones are available in the Apple Store and Google Play Store. You may also get the program at https://edit-pdf-ios-android.pdffiller.com/. Open the web app, sign in, and start editing ihs guest referral form.

How do I edit ihs guest referral form on an iOS device?

You can. Using the pdfFiller iOS app, you can edit, distribute, and sign ihs guest referral form. Install it in seconds at the Apple Store. The app is free, but you must register to buy a subscription or start a free trial.