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APPLICATION FOR MONROE COUNTY OASIS RESIDENTIAL SERVICES UPDATED 3/14/2018APPLICANT Informational Name:(Maiden)First Name:Middle Initial:TA Application Submitted? Yes No Which County? ARES Request
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To fill out an OASAS referral form, follow these steps:
02
Start by gathering all the necessary information such as the client's name, address, phone number, and emergency contact details.
03
Next, provide information about the referral source, including the agency's name, address, and contact person.
04
Fill out the client's demographic information, including age, gender, date of birth, and social security number.
05
Provide details about the client's substance abuse history, including the substances used, frequency, and duration of use.
06
Describe any past treatment experiences the client has had, including dates, facilities, and outcomes.
07
Indicate the client's current living situation and any history of homelessness or involvement with the criminal justice system.
08
Give information about the client's medical history, including any physical or mental health conditions.
09
Provide details about the client's insurance coverage and any other relevant financial information.
10
Finally, sign and date the referral form, and ensure all the provided information is accurate and complete before submitting it.

Who needs oasas referral 3-14-18?

01
OASAS referral is needed by individuals who require substance abuse treatment services. This can include individuals who are struggling with drug or alcohol addiction and are seeking professional help to overcome their substance use disorder.
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OASAS referral 3-14-18 is a form used to report information about individuals seeking substance abuse treatment.
Healthcare providers and facilities are required to file OASAS referral 3-14-18 for individuals seeking substance abuse treatment.
OASAS referral 3-14-18 can be filled out online through the OASAS website or submitted via mail or fax with the required information about the individual seeking treatment.
The purpose of OASAS referral 3-14-18 is to ensure that individuals seeking substance abuse treatment receive the necessary care and support.
Information such as personal details, substance abuse history, treatment preferences, and any other relevant information about the individual seeking treatment must be reported on OASAS referral 3-14-18.
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