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Los Angeles Unified School DistrictSTUDENT HEALTH AND HUMAN SERVICESSCHOOL MENTAL HEALTH SMH Referral Cover Sheet Parent Referral Form DATE: From: Name/TitleEmail address: Telephone Number(s): Please
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What is smh referral cover sheet?
The smh referral cover sheet is a document used to provide important information about a referral to a mental health service.
Who is required to file smh referral cover sheet?
Healthcare providers, social workers, and other professionals involved in the referral process are required to file the smh referral cover sheet.
How to fill out smh referral cover sheet?
To fill out the smh referral cover sheet, include details about the patient, reason for referral, any relevant medical history, and contact information.
What is the purpose of smh referral cover sheet?
The purpose of the smh referral cover sheet is to ensure that all necessary information is provided when referring a patient to a mental health service, to improve communication and coordination of care.
What information must be reported on smh referral cover sheet?
Information such as patient demographics, reason for referral, current medications, any known allergies, and contact information for the referring provider must be reported on the smh referral cover sheet.
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