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CHILDREN AND TEENS REFERRAL FORM Parent/Guardian Details: Surname: First name: Address: Post code: Email: Mobile: Child's Details: Surname: First name: Male / Female DOB: / / Height: Current Medication:
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How to fill out children and teens referral

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How to fill out children and teens referral:

01
Begin by gathering the necessary information about the child or teen, such as their name, age, and contact details.
02
Provide background information about the child or teen, including their current living situation, any relevant medical or mental health conditions, and any previous interventions or services they have received.
03
Clearly state the reason for the referral, outlining any concerns or issues that need to be addressed.
04
Include any supporting documentation or assessments that may be helpful for the referral, such as educational evaluations, medical records, or psychological assessments.
05
Provide contact information for any involved professionals or agencies, such as therapists, doctors, or social workers, to ensure effective communication and coordination of services.
06
Indicate the desired outcomes or goals for the child or teen, as well as any specific services or interventions that may be recommended.
07
Sign and date the referral form, ensuring that all necessary information has been included and that it is legible.

Who needs children and teens referral?

01
Children or teens who may be experiencing behavioral or emotional difficulties that require specialized support or intervention.
02
Individuals involved in the child or teen's care, such as parents, guardians, teachers, or healthcare professionals, who identify a need for additional services or assessments.
03
Agencies or organizations that work with children and teens, such as schools, social services, or mental health clinics, which may require a formal referral to access certain resources or programs.
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Children and teens referral is a process of reporting any concerns or suspicions of child abuse or neglect to the appropriate authorities for investigation and intervention.
Any individual who has reason to believe that a child or teenager is being abused or neglected is required to file a children and teens referral.
To fill out a children and teens referral, the reporter must provide detailed information about the child or teenager, the nature of the abuse or neglect, and any other relevant details.
The purpose of children and teens referral is to ensure the safety and well-being of children and teenagers who may be at risk of harm.
The information that must be reported on a children and teens referral includes the name and age of the child or teen, the nature of the abuse or neglect, any evidence or witnesses, and contact information for the reporter.
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