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Community Intervention Team Referral Form Tel: 1890 837 427 Fax: 0214840093 Referring Hospital Ward Other Referring Hospital Tel: Date Time Patient Information Pt Name: Na Next of kin: Relationship

How to fill out cit referral form

How to fill out a community intervention team referral:

1. Start by obtaining a community intervention team referral form. This can typically be obtained from the local social services office or community center.
2. Fill out the personal information section of the referral form. This usually includes details such as the individual's name, address, contact information, and date of birth. Ensure all information is accurate and up to date.
3. Provide a brief description of the situation or concern that requires the community intervention team's assistance. This can include details about the individual's behavior, mental health issues, or any other relevant information.
4. Indicate the preferred method of contact for the community intervention team. This can include providing a phone number or email address where they can reach the individual or their designated point of contact.
5. If applicable, provide additional information regarding any relevant agencies or professionals already involved in the individual's care. This can help the community intervention team coordinate efforts and provide the most appropriate support.

Who needs community intervention team referral:

1. Individuals facing significant challenges in their personal lives, such as mental health issues, substance abuse problems, or domestic violence situations, might benefit from a community intervention team referral.
2. Individuals who are experiencing difficulty accessing appropriate social services or receiving adequate support from existing agencies may need the assistance of a community intervention team.
3. Families or caregivers of individuals who require additional resources or interventions to address their needs may also benefit from a community intervention team referral.

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What is community intervention team referral?

A community intervention team referral is a process by which individuals or organizations can refer a person who may require assistance from a community intervention team, typically due to behavioral health or social issues.

Who is required to file community intervention team referral?

Community intervention team referrals can be filed by various individuals including healthcare professionals, social workers, educators, law enforcement, and sometimes family members or friends of the individual in need.

How to fill out community intervention team referral?

To fill out a community intervention team referral, one must provide details such as the individual’s personal information, a description of the concerns, reasons for referral, and any relevant background information that could assist the team in providing support.

What is the purpose of community intervention team referral?

The purpose of a community intervention team referral is to identify individuals who may benefit from coordinated support services in order to improve their well-being and prevent escalation of issues.

What information must be reported on community intervention team referral?

The information that must be reported on a community intervention team referral includes the individual's name, contact information, specific issues or behaviors of concern, history of interventions, and any existing support systems.