Get the free Referral Form - Arbour Health System
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Community Services Lowell Treatment Center ND 391 Barnum Avenue, 2 floor Lowell, MA 01854 Phone: 800.727.6324 Fax: 978. 703.2490 Please send referrals via FAX to: (978) 703-2490 For Family Stabilization
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How to fill out referral form - arbour
How to fill out referral form - arbour:
01
Start by gathering all the necessary information. This includes the patient's full name, date of birth, contact information, and any relevant medical history.
02
Ensure that you have the referring physician's details, such as their name, contact information, and any specific instructions they may have provided.
03
Fill in the reason for referral, clearly stating the purpose of the referral and any specific concerns or conditions that need to be addressed.
04
Provide detailed information about the patient's symptoms, current medications, and any previous treatments or procedures they have undergone.
05
If applicable, include any supporting documents or test results that are relevant to the referral.
06
Make sure to sign and date the referral form before submitting it to the appropriate department or healthcare provider.
Who needs referral form - arbour:
01
Patients who have been advised by their primary care physician or another healthcare professional to seek specialized care or treatment at Arbour hospital.
02
Individuals who require psychiatric evaluations, counseling, or therapy services provided by Arbour.
03
Referring physicians who need to refer their patients to Arbour for further evaluation, diagnosis, or treatment of mental health conditions.
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What is referral form - arbour?
Referral form - arbour is a document used to request services or support from a specialized mental health facility known as Arbor.
Who is required to file referral form - arbour?
Referral form - arbour can be filed by healthcare providers, social workers, or individuals seeking mental health services.
How to fill out referral form - arbour?
To fill out a referral form - arbour, one must provide relevant personal information, reasons for seeking services, and any supporting documentation.
What is the purpose of referral form - arbour?
The purpose of referral form - arbour is to connect individuals with mental health professionals at Arbor for evaluation and treatment.
What information must be reported on referral form - arbour?
Information such as personal details, mental health history, reasons for seeking services, and any relevant medical records must be reported on referral form - arbour.
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