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Section 04, Attachment G form page i of iv Intensive Stabilization Services Referral Format: Time: Referred By: Agency: Phone: () Referents email: Fax Number: (Has family been informed that a referral

How to fill out intensive stabilization services referral

How to fill out intensive stabilization services referral

1. To fill out an Intensive Stabilization Services referral, follow these steps:
2. Gather all necessary information about the individual requiring the referral, including their full name, date of birth, contact information, and relevant medical history.
3. Contact the Intensive Stabilization Services provider or access their online referral portal.
4. Provide the required information about the individual and their current mental health condition or crisis situation.
5. Answer any specific questions or provide additional details requested in the referral form.
6. Double-check all the information entered for accuracy and completeness.
7. Submit the referral either by clicking the submit button on the online portal or sending it via email/fax to the designated intake coordinator.
8. Follow up with the provider to ensure the referral was received and to inquire about the next steps in the process.
9. Keep a copy of the referral and related documentation for your records.

Who needs intensive stabilization services referral?

1. An individual who requires intensive support and intervention during a mental health crisis or severe mental health condition may need an Intensive Stabilization Services referral.
2. This can include individuals experiencing severe depression, anxiety, bipolar disorder, schizophrenia, psychosis, or other significant mental health challenges.
3. Intensive Stabilization Services are often recommended for individuals who have attempted self-harm or who pose a risk to themselves or others.
4. Additionally, individuals who have recently been discharged from a psychiatric hospitalization or who have a history of frequent psychiatric admissions may benefit from an Intensive Stabilization Services referral.
5. It is important to consult with a mental health professional or the appropriate authorities to determine if an Intensive Stabilization Services referral is necessary for a particular individual.

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What is intensive stabilization services referral?

Intensive stabilization services referral refers to a process of connecting individuals experiencing crisis with specialized mental health services to ensure their safety and well-being.

Who is required to file intensive stabilization services referral?

Typically, mental health professionals, social workers, or medical providers are required to file intensive stabilization services referral for individuals in crisis.

How to fill out intensive stabilization services referral?

Intensive stabilization services referral forms usually require information such as the individual's demographics, crisis situation, mental health history, and referral source.

What is the purpose of intensive stabilization services referral?

The purpose of intensive stabilization services referral is to provide immediate support and intervention for individuals in crisis to prevent further harm or emergency situations.

What information must be reported on intensive stabilization services referral?

Information such as the individual's name, age, address, crisis description, risk assessment, and any relevant medical history must be reported on intensive stabilization services referral.