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Adult Autism Referral (Lifespan Services) Referral Concerns and History (To be completed by Physician) continued Co-morbid Medical Concerns (check all that apply)
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How to fill out adult autism referral

How to Fill Out Adult Autism Referral:
01
Start by gathering all necessary documents and information. This may include personal identification documents, medical records, previous assessments or evaluations, and any supporting documentation.
02
Contact the appropriate healthcare or mental health professional or organization that handles adult autism referrals. They will guide you through the process and provide you with the necessary forms or documents.
03
Begin filling out the referral form or document by providing your personal information such as name, contact information, and date of birth.
04
Fill in any relevant medical history, including previous diagnoses or assessments, current medications, and any known allergies or medical conditions.
05
Provide a detailed description of any current symptoms or concerns related to autism spectrum disorder. This can include social communication difficulties, repetitive behaviors, sensory sensitivities, or any other relevant information.
06
If available, include any observations or examples of how these symptoms affect your daily functioning, relationships, or overall well-being.
07
Include a brief summary of your educational, occupational, and social history. This may involve providing information about your academic background, current employment situation, and any support services or accommodations you may require.
08
If applicable, provide the contact information of any supporting healthcare professionals or specialists who have previously assessed or treated you for autism spectrum disorder.
09
Review the completed referral form or document for accuracy and completeness. Make any necessary edits or additions before submitting it.
10
Follow the instructions provided by the healthcare or mental health professional or organization regarding the submission process. This may involve mailing or emailing the referral form, scheduling an appointment, or attending an initial assessment.
Who Needs Adult Autism Referral:
01
Individuals who suspect they may have autism spectrum disorder and wish to receive a formal diagnosis and appropriate support and services.
02
Adults who have previously received a diagnosis of autism spectrum disorder but require a referral to access specialized healthcare or mental health services.
03
Individuals who have noticed significant changes in their symptoms or functioning and want to seek professional advice or reassessment.
04
Adults who require an updated assessment or diagnosis for educational or employment purposes.
05
Family members, partners, or caregivers who believe an adult they know may have autism spectrum disorder and seek professional guidance and support.
Remember, it is always advisable to consult with healthcare professionals or organizations specializing in autism spectrum disorder to ensure accurate information and proper guidance throughout the referral process.
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What is adult autism referral?
Adult autism referral is a process in which individuals are referred for evaluation and support services for autism spectrum disorder in adulthood.
Who is required to file adult autism referral?
Any adult individual who suspects they may have autism or anyone who is concerned about the behavior of an adult individual.
How to fill out adult autism referral?
To fill out an adult autism referral, individuals can contact their healthcare provider or local autism support organization for guidance on the process.
What is the purpose of adult autism referral?
The purpose of adult autism referral is to help adults receive an accurate diagnosis and access appropriate support services for autism spectrum disorder.
What information must be reported on adult autism referral?
Information such as the individual's demographics, medical history, behavioral concerns, and any previous evaluations or assessments related to autism.
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