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Southern Community Intensive Support (SCSI) Program Mental Health Foundation ACT REFERRAL FORM 16 Calhoun Street, Samba, ACT 2903 Main: 6296 2291 Fax: 6296 3136 Karen.st. George UHF.org.AU Please
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How to fill out a referral form - mental?

01
Begin by obtaining the referral form from the appropriate source, such as your healthcare provider or insurance company.
02
Carefully read through the instructions and guidelines provided on the form to ensure accuracy in filling it out.
03
Start by entering your personal information accurately, such as your full name, date of birth, contact details, and any other required information.
04
Next, provide information about your mental health condition or concern that necessitates the referral. Be specific about the symptoms you are experiencing and the duration of the issue.
05
If you have a preferred mental health professional or facility for the referral, indicate their name and contact details on the form.
06
If you have any special considerations or requests, such as the need for a specific type of therapy or treatment, mention them clearly on the form.
07
Review the completed form to ensure all information is accurate and legible before submitting it.

Who needs a referral form - mental?

01
Individuals who are seeking specialized mental health services or treatment may need a referral form.
02
Those who are under the care of a primary care physician or healthcare provider and require a referral to a mental health specialist may need to fill out a referral form.
03
Insurance companies or healthcare systems may require a referral form before authorizing coverage for mental health services.
04
Patients who wish to seek mental health care from a specific provider or facility may need to complete a referral form to facilitate the process.
05
In some cases, employers or educational institutions may require a referral form to initiate mental health support services for their employees or students.
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