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Serious Mental Illness and Homelessness
A. Adult (18 or older)
AND
B. Homeless
1. Living in a place not meant for human habitation
2. Staying in more than one place in a 30-day
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How to fill out referral packet-revised2011doc
How to fill out referral packet-revised2011doc
01
To fill out the referral packet-revised2011doc, follow these steps:
02
Begin by reviewing the referral packet-revised2011doc to familiarize yourself with its contents.
03
Collect all the necessary information and documents required for the referral process.
04
Start by filling out the personal details section, including the name, address, contact information, and any other requested information.
05
Move on to the medical history section, providing accurate and detailed information about the individual's health background.
06
Make sure to include any relevant medical reports, test results, or supporting documents that may be required for the referral.
07
Next, fill out the reason for the referral, clearly stating the purpose and objective of seeking the referral.
08
If there are any specific instructions or preferences regarding the referral, such as preferred healthcare providers or facilities, include them in the relevant section.
09
Double-check all the provided information to ensure its accuracy and completeness.
10
Once you have filled out all the required sections, review the entire referral packet-revised2011doc again to make sure everything is in order.
11
Submit the completed referral packet-revised2011doc to the designated authority or organization responsible for processing referrals.
12
Keep a copy of the filled referral packet-revised2011doc for your records.
13
Note: It is essential to follow any specific guidelines or instructions provided along with the referral packet-revised2011doc for a successful referral process.
Who needs referral packet-revised2011doc?
01
The referral packet-revised2011doc is typically needed by individuals or healthcare professionals who want to refer a patient to a specialist, healthcare facility, or any other relevant healthcare service provider.
02
It can be used by doctors, nurses, therapists, or any authorized medical personnel responsible for arranging referrals for patients.
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