Get the free TLC Referral Form

CONFIDENTIAL TLC REQUEST FOR SUPPORT SERVICES FAX: (562) 4697155 Phone: (562) 9043577TLCPlease consult with the Department of Children and Family Services at (800) 5404000 in cases of suspected child

How to fill out tlc referral form

How to fill out tlc referral form

1. Start by gathering all the necessary information, including the client's personal details, medical history, and reason for referral.
2. Download the TLC referral form from the official website or obtain a physical copy from a local TLC office.
3. Fill out the client's personal information section accurately, providing their full name, address, contact details, and date of birth.
4. Provide relevant details about the client's medical history, including any known allergies, medications being taken, or existing medical conditions.
5. Clearly state the reason for referral, outlining the specific issue or condition that requires TLC intervention.
6. If applicable, provide additional supporting documentation or reports from healthcare professionals.
7. Review the completed form to ensure all information is accurate and legible.
8. Submit the filled-out TLC referral form through the designated channels, either by mailing it to the provided address or submitting it online via the official website.
9. Keep a copy of the completed form for your records.
10. Wait for confirmation or feedback from the TLC regarding the referral.

Who needs tlc referral form?

1. Anyone who requires TLC services can potentially benefit from using the TLC referral form.
2. This includes individuals who are seeking support for physical or mental health conditions, individuals with disabilities or special needs, or those who require assistance with daily living activities.
3. Healthcare professionals, social workers, or caregivers may also need to fill out the TLC referral form on behalf of their clients.
4. It is recommended to check with the specific TLC organization or agency to ensure that the use of the referral form is appropriate for your situation.

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What is tlc referral form?

The TLC referral form is a document used to refer individuals to the Therapeutic Learning Center for support and services.

Who is required to file tlc referral form?

Teachers, parents, counselors, or any concerned individual can file a TLC referral form.

How to fill out tlc referral form?

The TLC referral form can be filled out online or submitted in person at the Therapeutic Learning Center.

What is the purpose of tlc referral form?

The purpose of the TLC referral form is to identify students who may benefit from additional support and services at the Therapeutic Learning Center.

What information must be reported on tlc referral form?

The TLC referral form typically requires information about the student's behavior, academic performance, and any other relevant concerns.