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Revised 09/19/2016 BEHAVIORAL HEALTH PARTIAL PROGRAM BHP Community Referral Form Date of Referral: Name: DOB ...
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01
Open the bhp-community-referral-form-rev09192016docx document on your computer.
02
Read through the instructions and guidelines provided in the form.
03
Start by filling out the personal information section, including your name, address, contact details, and any other required details.
04
Move on to the referral details section, where you will provide information about the person or organization you are referring.
05
Fill in all the necessary fields in the referral details section, such as their name, contact information, reason for referral, and any additional notes or comments.
06
Ensure that all the information provided is accurate and up to date.
07
Check if there are any additional sections or forms required to be attached with the referral form. If so, gather those documents and attach them to the referral form.
08
Review the completed form to make sure all the sections are filled out correctly and completely.
09
Save a copy of the filled-out referral form for your records.
10
Submit the completed referral form as per the instructions provided, either by email, fax, or in person.
11
Follow up with the relevant authorities or organizations to ensure that the referral form has been received and processed.

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01
The bhp-community-referral-form-rev09192016docx is needed by individuals or organizations who want to refer someone to the BHP community.
02
It is commonly required by healthcare professionals, social workers, community leaders, or anyone who is involved in assisting individuals in getting access to BHP community services.
03
The form serves as a means to provide all the necessary information about the person or organization being referred, ensuring that they receive the appropriate support and resources from the BHP community.
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It is a referral form used by the BHP community.
Healthcare providers and organizations in the BHP community are required to file this form.
The form must be completed with the requested information and submitted according to the instructions provided.
The purpose of the form is to facilitate referrals within the BHP community for healthcare services.
The form requires information about the patient, referring healthcare provider, type of referral, and any relevant medical details.
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