Get the free In House OCMHC Referral Form for C & Y CM Services - lakeviewmhs

ONTARIO COUNTY DEPARTMENT OF MENTAL HEALTH 3019 County Complex Drive Canandaigua, New York 14424 (585) 396-4363 ? Fax (585) 396-4993 Diane L. Johnston, LCSW-R Mental Health Center Director of Community

How to fill out in house ocmhc referral

How to fill out an in-house OCMHC referral:

1. First, gather all necessary information about the individual requiring the referral. This may include their full name, contact information, date of birth, and any relevant medical history or diagnoses.
2. Next, consult with the individual's primary care physician or mental health provider to determine the specific reasons for the referral. It is essential to clearly communicate the individual's symptoms, concerns, and treatment needs.
3. Once the purpose of the referral is determined, access the appropriate referral form or template. Many healthcare organizations have standardized referral forms that must be completed.
4. Begin filling out the form by providing the individual's personal information, including their name, address, and contact details.
5. On the form, provide a detailed description of the individual's symptoms or condition that necessitates the referral. Include any relevant medical history, previous treatments or interventions, and current medications.
6. Indicate the preferred in-house OCMHC professional or department to which the referral is being sent. If there is a specific provider or specialty required, ensure to include this information.
7. If needed, attach any supporting documents or medical reports that may assist the receiving healthcare providers in understanding the individual's condition better.
8. Review the referral form thoroughly to ensure all information is accurate and complete. Triple-check for any errors or omissions that could delay or hinder the referral process.
9. Once the referral form is completed, submit it to the appropriate department or individual responsible for processing referrals within the healthcare organization.
10. Keep a copy of the referral form for your records, and ensure it is also placed in the individual's medical file.

Who needs an in-house OCMHC referral?

1. Individuals experiencing mental health challenges that require specialized treatment or intervention.
2. Individuals seeking psychological counseling or therapy services within the healthcare organization.
3. Individuals requiring a comprehensive assessment or evaluation of their mental health status.
4. Individuals who have been referred by their primary care physician, mental health provider, or social worker for further mental health support.
5. Individuals who have previously received mental health treatment and require ongoing or follow-up care within the same healthcare system.

For pdfFiller’s FAQs

What is in house ocmhc referral?

In house ocmhc referral is a referral made within an organization to the On-Campus Mental Health Center.

Who is required to file in house ocmhc referral?

Any member of the organization can file an in house ocmhc referral if they believe someone could benefit from the services offered by the On-Campus Mental Health Center.

How to fill out in house ocmhc referral?

To fill out an in house ocmhc referral, one must provide information about the individual in need, their concerns, and contact information.

What is the purpose of in house ocmhc referral?

The purpose of in house ocmhc referral is to connect individuals within an organization to mental health services provided by the On-Campus Mental Health Center.

What information must be reported on in house ocmhc referral?

Information such as the individual's name, contact information, reason for referral, and any relevant background information should be reported on an in house ocmhc referral.

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