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CARE FORENSIC REFERRAL FORM Please complete the following information to make a referral for a CARE interview. Fax this form to LA CASA Legal Intervention Team at 5175483034. DATE OF REFERRAL: CASE
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How to fill out care forensic referral form

How to fill out care forensic referral form
01
Start by gathering all the necessary information of the patient, such as their personal details, contact information, and medical history.
02
Fill out the section for the referring party, providing their name, organization, and contact details.
03
Move on to the section for the referred service, specifying the type of forensic care needed.
04
Provide detailed information about the incident or condition that requires forensic care, including any relevant dates, times, and locations.
05
Document any previous interventions or referrals related to this case.
06
If available, attach any supporting documents, such as medical reports or police reports, that may be relevant to the referral.
07
Review the completed form for accuracy and completeness.
08
Submit the form to the appropriate department or organization responsible for processing forensic care referrals.
Who needs care forensic referral form?
01
Care forensic referral form is needed by individuals or organizations involved in situations requiring forensic care, such as victims of crimes, individuals involved in accidents, or individuals in need of specialized forensic medical or psychological services.
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