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DONNYBROOK CHILDREN HOME Please fax to: Sharon Kendrick Brief Referral Screening 601.856.6520 Fax/601.856.6555 ext. 107 Date: / / Person Referring the Youth: County: DHS Placement Private Placement/Medicaid
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Admission brief referral screeningdoc is a document used to provide a summary of a potential patient's case for admission to a healthcare facility.
Healthcare providers or facilities responsible for admitting patients are required to file admission brief referral screeningdoc.
Admission brief referral screeningdoc should be filled out by including relevant patient information, medical history, reason for admission, and any necessary documentation.
The purpose of admission brief referral screeningdoc is to ensure that patients are admitted to the appropriate healthcare facility and receive the necessary care.
Information such as patient demographics, medical history, reason for admission, current medical condition, and any special requirements must be reported on admission brief referral screeningdoc.
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