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Crook County School District Continuous Improvement/RTI Project CARE/Problem-Solving Team Referral Referring teacher should complete this form STUDENT NAME: DOB: AGE: TEACHER: GRADE: PRIMARY LANGUAGE:

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How to fill out careproblem solving team referral

How to fill out a care problem solving team referral:

01

Start by gathering all the necessary information about the individual who needs the referral. This includes personal details such as their name, age, contact information, and any relevant medical history.

02

Next, identify the specific issues or challenges that require the care problem solving team's intervention. Clearly explain the reasons for seeking their assistance and detail the nature of the problem or concern.

03

Provide any additional supporting documentation or records that may be helpful for the care problem solving team in understanding the situation. This could include medical reports, assessments, or any relevant documents that offer more context.

04

Consider including any specific goals or desired outcomes that you hope the care problem solving team can help achieve. Clearly communicate the desired results or improvements that you are seeking for the individual's care.

05

Remember to include the contact information of the person making the referral. This ensures that the care problem solving team can reach out for any further information or clarification if needed.

Who needs care problem solving team referral?

01

Individuals who are facing complex or challenging care situations that cannot easily be resolved by the primary care provider alone may need a care problem solving team referral.

02

Patients with chronic or complicated medical conditions, mental health concerns, or special needs that require a multidisciplinary approach to address their care needs can benefit from the expertise of a care problem solving team.

03

Family members or caregivers who are struggling to manage a loved one's care and require additional support or guidance may also benefit from a care problem solving team referral.

Remember, each situation is unique, so it is important to consult with the appropriate healthcare professionals or care coordinators to determine if a care problem solving team referral is necessary and beneficial in each specific case.

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