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STARTS Referral Hormone (800) 7040900Fax to (408) 9384536Please Print
1. REFERRAL SOURCEProgram Name / District:Referring Agency / School:Referring Person:Referring Persons Phone:Referring Persons
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How to fill out starts referral form
How to fill out starts referral form
01
To fill out the stars referral form, follow these steps:
02
Start by entering your personal information such as your name, contact details, and address.
03
Provide details about the person you are referring, including their name, contact information, and any relevant background information.
04
Specify the reason for the referral and provide as much detail as possible. Include the specific services or support needed.
05
Indicate any urgency or special considerations for the referral.
06
Review the completed form for accuracy and ensure all required fields are filled out.
07
Submit the referral form through the designated channel, whether it be online submission or physical submission to a specified office.
08
Keep a copy of the referral form for your records.
Who needs starts referral form?
01
The stars referral form is needed by individuals who want to refer someone for specific services or support. This can include healthcare professionals, social workers, educators, family members, or friends who are aware of someone in need and believe they would benefit from the services offered by stars.
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What is starts referral form?
The STARTS referral form is a document used to refer individuals with disabilities to receive services and support.
Who is required to file starts referral form?
Any individual or organization who believes someone may benefit from disability services can file a STARTS referral form.
How to fill out starts referral form?
The STARTS referral form can be filled out online or submitted in person at a designated office.
What is the purpose of starts referral form?
The purpose of the STARTS referral form is to connect individuals with disabilities to the appropriate services and support they may need.
What information must be reported on starts referral form?
The STARTS referral form typically asks for information about the individual's disability, current living situation, and any services they may already be receiving.
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