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Canadian Mental Health Association, Niagara Branch Short Term Residential Crisis Support Program (Safe Beds) 15 Wellington Street Referral Form Please fax this information to: 9056418821 upon referral
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How to fill out referral form - CMHA:

01
Make sure you have all the necessary information available before filling out the referral form, such as personal details, contact information, reason for referral, and any relevant supporting documents.
02
Start by carefully reading the instructions provided on the referral form. Familiarize yourself with the specific requirements and guidelines set by CMHA (Canadian Mental Health Association).
03
Begin filling out the referral form by providing your personal information, such as your full name, address, phone number, and email address. Make sure to double-check that the information is accurate and up-to-date.
04
Proceed to answer the questions regarding the reason for referral. Clearly and concisely describe your needs or the needs of the individual you are referring, including any pertinent information that can help CMHA understand the situation better.
05
If required, attach any supporting documents that are requested or can provide additional context. This may include medical records, assessments, or any relevant reports.
06
Review the completed referral form to ensure all sections have been filled out accurately and completely. Double-check for any spelling errors or missing information.
07
Finally, submit the referral form as instructed by CMHA. This can usually be done online, by mail, or by email. Follow the given instructions and make sure to keep a copy for your records.

Who needs referral form - CMHA:

01
Individuals seeking mental health services or support from the Canadian Mental Health Association (CMHA) may need to fill out a referral form.
02
Referral forms are typically required for individuals who are either self-referring themselves or being referred by a healthcare professional, social worker, counselor, or other relevant parties.
03
The referral form ensures that CMHA receives all the necessary information and context about the individual's mental health needs, enabling them to provide appropriate and targeted assistance.
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Referral form - cmha is a form used to refer individuals to the Canadian Mental Health Association for mental health services.
Healthcare providers, social workers, counselors, and individuals seeking mental health services are required to file referral form - cmha.
Referral form - cmha can be filled out online or in person by providing personal information, medical history, and reason for referral.
The purpose of referral form - cmha is to connect individuals with the needed mental health services provided by the Canadian Mental Health Association.
Personal information, medical history, current mental health concerns, and reason for seeking services must be reported on referral form - cmha.
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