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McLean HOSPITAL SOUTHEAST REFERRAL FORM Partial Hospital Program 23 Isaac Street, Middle borough, MA 02346 Date of Referral: Attn: Mark Longs, LCSW/Program Director Phone: 7744191040 Fax: 7744191044
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01
Read the instructions on the McLean Hospital SOU (Statement of Understanding) form carefully.
02
Provide your personal information such as name, date of birth, and contact details.
03
Fill out the section that requires your medical history, including any previous hospitalizations or psychiatric treatments.
04
Indicate your current medications, if any, including the dosage and frequency.
05
If applicable, include a list of any allergies or sensitivities to medications.
06
Complete the section regarding your current symptoms or reasons for seeking treatment at McLean Hospital.
07
Be sure to answer all questions honestly and accurately.
08
If there are any additional forms or documents required, make sure to attach them properly.
09
Sign and date the McLean Hospital SOU form to confirm your understanding of the provided information and your agreement to comply with the hospital's policies and procedures.
10
Submit the filled-out form to the appropriate department or staff member at McLean Hospital.

Who needs mclean hospital souformast?

01
Individuals who are seeking psychiatric treatment or hospitalization at McLean Hospital.
02
Anyone facing mental health challenges and requiring specialized care.
03
Patients who have been referred to McLean Hospital by their primary care physician or mental health professional.
04
Individuals who have a history of psychiatric disorders or substance abuse and are in need of a comprehensive treatment program.
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McLean Hospital Souformast is a form used to report certain financial information related to hospital operations.
McLean Hospital and other healthcare facilities are required to file the Souformast.
The Souformast can be filled out electronically or manually, following the instructions provided by the regulatory authority.
The purpose of the Souformast is to ensure transparency and accountability in the financial operations of healthcare facilities.
Information such as revenue, expenses, assets, liabilities, and other financial data must be reported on the Souformast.
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