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COWL National Problem Gambling ClinicConcerned Significant Others (CSOs) Referral Form(Version May 2012)1.×Referrers DetailsDate of referral:Self referral? Yes×No* If Yes, please cross out / ignore
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How to fill out cnwl national problem gambling

01
To fill out the CNWL National Problem Gambling form, follow these steps:
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Start by providing your personal details such as your name, address, and contact information.
03
Next, answer the questions related to your gambling habits and history. Be honest and provide accurate information.
04
Fill in any additional details or comments in the designated sections, if required.
05
Review the form to ensure all the required fields are filled out correctly.
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Once you are satisfied with the information provided, sign and date the form.
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Submit the completed form to the appropriate CNWL National Problem Gambling department or organization.
08
Keep a copy of the filled-out form for your records.

Who needs cnwl national problem gambling?

01
The CNWL National Problem Gambling form is typically needed by individuals who:
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- Suspect they have a gambling problem and want to seek help or treatment
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- Are concerned about someone else who may have a gambling problem, such as a family member or friend
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- Have been professionally advised to complete the form as part of an assessment or intervention
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- Are required to provide the information for research or statistical purposes related to problem gambling
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- Want to access specific support services offered by CNWL National Problem Gambling or related organizations

What is CNWL National Problem Gambling Clinic Form?

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CNWL National Problem Gambling is a tool to collect data on individuals experiencing problems with gambling.
Healthcare professionals or organizations dealing with problem gambling are required to file CNWL National Problem Gambling.
CNWL National Problem Gambling form can be filled out online by providing the required information about the individual experiencing problem gambling.
The purpose of CNWL National Problem Gambling is to gather data to better understand and address issues related to problem gambling.
Information such as personal details of the individual, gambling behavior, impact on mental health, and any treatment received must be reported on CNWL National Problem Gambling.
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