Get the free Agency Referral Form - HERO For Children
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Hearts Everywhere Reaching Out for Children, Inc. ***NOTE: to be eligible, the child must be between 6 and 16 years old, reside in Georgia, and have HIV or: 1) have an immediate family member infected
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How to fill out agency referral form
How to fill out agency referral form:
01
Start by obtaining the official agency referral form from the relevant agency. This form is usually available for download on the agency's website or can be obtained in person or by mail.
02
Begin by providing your personal information in the designated fields. This may include your full name, contact information, address, date of birth, and any other requested details.
03
Next, provide information about the agency you are referring to. This could include the agency's name, contact information, and any specific department or program you wish to refer to.
04
Specify the reason for the referral. Clearly state the purpose or concern that prompted you to seek assistance from the agency. Be concise but provide enough information for the agency to understand the situation.
05
Provide any relevant background information. This may include details about your current circumstances, previous attempts to address the issue, or any additional information that would be helpful in assessing your referral.
06
If necessary, include any supporting documents or attachments that could further explain or support your referral. This could include medical reports, legal documents, or any other relevant paperwork.
07
Double-check all the information you have provided on the form for accuracy and completeness. Make sure all the required fields are filled out and that there are no mistakes or missing information.
08
Sign and date the agency referral form to indicate your consent and understanding of its contents. This is usually required to authorize the agency to proceed with reviewing your referral and providing any necessary assistance.
Who needs agency referral form?
01
Individuals seeking specialized services or assistance from an agency.
02
Professionals making referrals on behalf of their clients, such as doctors, therapists, or social workers.
03
Individuals who have been advised or directed by another agency or organization to seek assistance from the referred agency.
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