Get the free Community Care Access Referral - Alberta Health Services

Community Care Access Referral All fields in bold must be completed along with any other applicable fields. Once competed fax to 403.943.1602 Last Name First Name Middle Initials Personal Health Number

How to fill out community care access referral

How to fill out a community care access referral:

1. Begin by obtaining the necessary referral form from the appropriate healthcare or social service agency. This form can typically be requested in person or downloaded online.
2. Start by providing your personal information, such as your full name, address, phone number, and date of birth. This information will help identify you as the person in need of community care services.
3. Next, specify the reason for your referral. Whether it is for ongoing medical care, mental health services, or assistance with daily activities, clearly state your needs on the form. Be as detailed as possible to ensure that your referral is accurately assessed.
4. Include any relevant medical or mental health history you may have. This may include chronic conditions, allergies, medications, or previous treatments received. Providing this information will help professionals better understand your specific care requirements.
5. If you are currently receiving care from any healthcare providers, list their names and contact information. This allows for a more coordinated approach to your care and ensures that the necessary professionals are involved in the referral process.
6. Indicate your preferred language of communication to ensure effective and clear communication throughout the referral process.
7. If you have a specific community care provider or organization in mind, specify this preference on the form. However, it is important to note that availability may vary, and alternative options may be explored.
8. Lastly, review the completed referral form for accuracy and completeness. Ensure that all sections are filled out appropriately before submitting it to the designated agency or healthcare provider.

Who needs community care access referral?

1. Individuals who require specialized medical care beyond the capabilities of their primary care physician may need a community care access referral. This could include individuals with chronic illnesses, complex medical conditions, or mental health needs.
2. Elderly individuals who require assistance with activities of daily living, such as bathing, dressing, and meal preparation, may also require a community care access referral.
3. People with disabilities who require support services, such as physical therapy, occupational therapy, or home modifications, may need to seek a community care access referral.
4. Individuals who are transitioning from hospital care to community-based care or vice versa may require a community care access referral to ensure a smooth and coordinated transition.
5. Individuals who need access to community resources and support networks, such as counseling services, support groups, or community outreach programs, may benefit from a community care access referral.

For pdfFiller’s FAQs

What is community care access referral?

Community care access referral is a process for individuals to access services in the community that support their health and well-being.

Who is required to file community care access referral?

Healthcare providers, social workers, or family members can file a community care access referral on behalf of an individual in need.

How to fill out community care access referral?

Community care access referral forms can be filled out online or in person with the necessary information about the individual requiring services.

What is the purpose of community care access referral?

The purpose of a community care access referral is to connect individuals with the appropriate community resources and support services they need.

What information must be reported on community care access referral?

Information such as medical history, current health status, support needs, and contact information must be reported on a community care access referral form.

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