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Harpreet K. Au lakh Registered Clinical Psychologist Living Well Integrative Health Center Independent Practitioner at Living Well Integrative Health Center 2176 Windsor Street, Halifax NS, B3K 5B6
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How to fill out mental-health-referral-formpdf - aulakhpsychology

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How to fill out mental-health-referral-formpdf - aulakhpsychology?

Start by entering your personal information:

01
Provide your full name, date of birth, and contact information.
02
Include your address, phone number, and email.

Indicate the reason for the referral:

01
Specify the mental health concern or issue you are seeking help for.
02
Be as detailed as possible to help the healthcare provider understand your needs.

Mention any previous mental health history:

01
Include any past diagnoses, treatments, or therapies you have received.
02
Provide the names and contact information of any previous healthcare providers involved in your mental health care.

Describe your current symptoms or concerns:

01
Explain the specific symptoms you are experiencing.
02
Provide details about the duration and severity of each symptom.

Mention any current medications or treatments:

01
List any medications you are currently taking for your mental health.
02
Include any ongoing therapies or alternative treatments you are undergoing.

Provide information about your insurance or financial situation:

01
Indicate the type of insurance coverage you have, if applicable.
02
Specify any financial limitations or restrictions that may affect your mental health care.

Who needs mental-health-referral-formpdf - aulakhpsychology?

Individuals seeking mental health support from Aulakh Psychology may need to fill out the mental-health-referral-formpdf. This form is essential for anyone who wants to schedule an appointment or receive mental health services from Aulakh Psychology. It ensures that the healthcare provider has all the necessary information to assess and address the individual's mental health concerns effectively. Whether you are a new patient or an existing one, filling out this form can help facilitate your journey towards better mental well-being.
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It is a form used for referring patients to a mental health professional at Aulakh Psychology.
Any healthcare provider or individual seeking mental health services at Aulakh Psychology may be required to file this form.
The form can be filled out by providing the patient's information, reason for referral, any relevant medical history, and contact information.
The purpose of the form is to facilitate the referral process for individuals seeking mental health services at Aulakh Psychology.
The form may require information such as patient's name, contact information, reason for referral, medical history, and referring provider's details.
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