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COUNSELLING SERVICES REFERRAL FORM Please sign and submit the completed referral form via fax to either: 9242 1584Incomplete referral form may result in processing delays and impact on the patients
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How to fill out counselling services referral form

How to fill out counselling services referral form
01
Gather all necessary information such as the client's personal details, contact information, and any relevant background information.
02
Obtain a copy of the counselling services referral form from the appropriate source, such as the healthcare provider or organization.
03
Carefully read the instructions and guidelines provided on the referral form to ensure accurate completion.
04
Fill in the required fields on the form, including the client's name, address, date of birth, preferred contact method, and reason for seeking counselling services.
05
Provide detailed information about the client's current mental health issues, symptoms, and any specific concerns that need to be addressed.
06
Include any relevant medical history, previous treatments, or medications being taken by the client.
07
Ensure that all information provided is truthful, accurate, and relevant to the referral.
08
If required, obtain necessary signatures from the client or legal guardians to authorize the referral.
09
Double-check the completed form for any errors or missing information before submitting it.
10
Submit the counselling services referral form to the designated healthcare provider or organization through the preferred submission method, such as in person, via mail, or electronically.
11
Keep a copy of the completed form for your records.
12
Follow up with the healthcare provider or organization to confirm receipt of the referral and to inquire about any further steps or appointments.
Who needs counselling services referral form?
01
Individuals who are experiencing mental health issues or seeking professional help for psychological or emotional concerns.
02
People who are referred by healthcare professionals, such as general practitioners, psychiatrists, or psychologists.
03
Clients who require specialized counselling or therapy services for specific mental health conditions.
04
Those who have previously received counselling services and need to continue or follow up on their treatment.
05
Individuals who may be at risk of harm to themselves or others and require immediate intervention or support.
06
People who are experiencing significant distress in their personal or professional lives and wish to seek guidance or assistance.
07
Clients who are involved in legal proceedings, such as court cases or child custody disputes, and require psychological evaluation or counselling.
08
Anyone who believes that counselling services could benefit their mental health and overall well-being.
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What is counselling services referral form?
Counselling services referral form is a document used to refer individuals to counselling services for mental health or emotional support.
Who is required to file counselling services referral form?
Healthcare professionals, social workers, or organizations providing support services may be required to file counselling services referral form.
How to fill out counselling services referral form?
To fill out counselling services referral form, one must provide personal information of the individual needing counselling, reason for referral, and any relevant medical history.
What is the purpose of counselling services referral form?
The purpose of counselling services referral form is to connect individuals in need of mental health support with appropriate counselling services.
What information must be reported on counselling services referral form?
Information such as individual's name, contact information, reason for referral, and any relevant medical or psychological history must be reported on counselling services referral form.
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