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GAMBLING & INTERNET/GAMING RESIDENTIAL TREATMENT: REFERRAL PACKAGE PLEASE NOTE THAT OUR PACKAGE NOW INCLUDES 2 SCREENING TOOLS FOR INTERNET GAMING DISORDER AND INTERNET ADDICTION. PLEASE COMPLETE

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How to fill out 1-referral information form

01

To fill out the 1-referral information form, follow these steps:

02

Start by entering your personal information such as your name, address, and contact details.

03

Next, provide details about the person you are referring, including their name, contact information, and any relevant background information.

04

Specify the reason for the referral and provide any necessary supporting documentation or records.

05

Fill out any additional sections or questions on the form that pertain to the referral process.

06

Review the completed form for accuracy and completeness.

07

Once reviewed, submit the form to the designated recipient or department for further processing.

Who needs 1-referral information form?

01

The 1-referral information form is needed by individuals or organizations who want to refer someone to a particular program, service, or organization. This form helps gather relevant information about the person being referred and assists in facilitating the referral process. It is typically used in settings such as healthcare, social services, education, or community support programs.

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What is 1-referral information form?

1-referral information form is a document used to report information about referrals made to another entity or individual.

Who is required to file 1-referral information form?

Anyone who makes referrals to other entities or individuals may be required to file 1-referral information form.

How to fill out 1-referral information form?

To fill out 1-referral information form, you need to provide details about the referral, including the date, the entity or individual referred to, and any relevant information.

What is the purpose of 1-referral information form?

The purpose of 1-referral information form is to track and report referrals made to other entities or individuals for transparency and regulatory compliance purposes.

What information must be reported on 1-referral information form?

On 1-referral information form, you must report details such as the date of referral, the entity or individual referred to, the reason for the referral, and any other relevant information.

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