Get the free Community Health Worker Referral Sheet - IMAA Intercultural ... - imaa

INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION 2500 Valley high Drive NW Rochester, MN 55901 Phone: (507× 2895960 ext. 123 Fax: (507× 2896199 www.imaa.net Co m uni t y H ea Ltd W o rue r Ref e era

How to fill out community health worker referral

1. To fill out a community health worker referral, first gather all necessary information about the individual who requires assistance. This includes their full name, contact information, date of birth, and any relevant medical or health-related details.
2. Next, identify the reason for the referral. Is the individual seeking general health education, assistance with managing a chronic condition, mental health support, or any other specific health concerns? Clearly specify the primary reason for the referral to ensure the community health worker can provide appropriate help.
3. Include any additional information or specific requirements that the community health worker should be aware of. For instance, if the individual prefers assistance in a particular language, requires accessible accommodations, or has any cultural considerations, note these details to ensure a personalized approach to their care.
4. Determine the preferred contact method for the community health worker. Some individuals may prefer phone calls, while others may prefer email or in-person visits. By providing their preferred communication channel, you can help facilitate effective and efficient communication between the individual and the community health worker.
5. It is essential to obtain consent from the individual before making a referral. Include a section where the individual can provide their consent for the referral and any necessary sharing of their personal health information.

Now, let's address who needs community health worker referral:

1. Individuals who lack access to quality healthcare services in their communities can benefit from a community health worker referral. These individuals may face barriers such as limited financial resources, lack of transportation, language barriers, or inadequate health literacy.
2. People who require assistance with managing chronic diseases or conditions can benefit from the support of a community health worker. These professionals can provide education, guidance, and help individuals navigate the healthcare system to ensure optimal disease management and overall wellness.
3. Community health worker referrals are particularly crucial for individuals experiencing mental health challenges. These workers can provide emotional support, connect individuals with appropriate mental health resources, and help them access mental healthcare services.

In summary, filling out a community health worker referral involves gathering essential information, clearly stating the reason for the referral, providing any additional necessary details, specifying preferred contact methods, and obtaining the individual's consent. Community health worker referrals are beneficial for individuals lacking healthcare access, those needing chronic disease management support, and those seeking mental health assistance.

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What is community health worker referral?

A community health worker referral is a process where a healthcare provider or organization refers a patient to a community health worker for additional support and services.

Who is required to file community health worker referral?

Healthcare providers and organizations are required to file community health worker referrals when they believe a patient would benefit from additional support services.

How to fill out community health worker referral?

Community health worker referrals can typically be filled out electronically or on paper forms provided by the healthcare provider. The referral should include the patient's information, reason for referral, and any relevant medical history.

What is the purpose of community health worker referral?

The purpose of a community health worker referral is to connect patients with additional support services, such as education, resources, and advocacy, to improve their overall health and well-being.

What information must be reported on community health worker referral?

Community health worker referrals should include the patient's name, contact information, reason for referral, any relevant medical history, and the healthcare provider's information.