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MENTAL HEALTH USE ONLY CLIENT NUMBER ASSESSMENT DATE YYY Community Residential Program REFERRAL MM DD 1 The personal information collected on this form is used for the purpose of assisting the Community

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What is community residential program referral?

A community residential program referral is a process where individuals or organizations refer someone to a community residential program for support and care.

Who is required to file community residential program referral?

Any individual or organization who wants to refer someone to a community residential program for support and care is required to file a community residential program referral.

How to fill out community residential program referral?

To fill out a community residential program referral, you need to gather necessary information about the individual being referred, including their personal details, medical history, and reasons for the referral. This information should be provided in the referral form or application.

What is the purpose of community residential program referral?

The purpose of a community residential program referral is to connect individuals in need of support and care to appropriate residential programs that can meet their specific needs. It aims to provide a safe and supportive environment for individuals to live and thrive.

What information must be reported on community residential program referral?

A community residential program referral typically requires information such as the individual's name, age, contact details, medical history, previous treatments, support needs, and reasons for the referral.

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