Get the free CASII referral form LCMH - Greater Albany Public Schools

Service for Children & Adolf cent with Intent I've Mental Health NeedREFERRAL FORM Child's Name Creating Change with Children & FamiliesDate of Birth IF CHILD IS COVER BY OREGON HEALTH PLAN: Identification

How to fill out casii referral form lcmh

How to fill out casii referral form lcmh

1. To fill out the CASII referral form for LCMH, follow these steps:
2. Obtain a copy of the CASII referral form from the LCMH website or contact their administrative office.
3. Begin by entering the essential patient information such as name, date of birth, address, and contact details.
4. Provide the relevant medical history of the patient, including any previous diagnoses or treatments.
5. Indicate the reason for the referral and the specific services or assessments required.
6. Specify any additional information or concerns that may be important for the evaluating team to know.
7. Sign and date the form to authenticate your referral.
8. Double-check all the provided information to ensure accuracy and completeness.
9. Submit the filled-out form to the designated caseworker or department at LCMH.
10. Keep a copy of the referral form for your records.
11. Follow up with LCMH regarding the status of the referral if necessary.

Who needs casii referral form lcmh?

1. The CASII referral form for LCMH is typically required for individuals who are seeking mental health services or assessments at LCMH.
2. This may include patients who have been recommended for specialized treatment, individuals experiencing mental health challenges or symptoms, or anyone seeking a thorough evaluation of their mental well-being.
3. The specific eligibility criteria and requirements may vary, so it is advisable to contact LCMH or refer to their guidelines for more information on who needs to fill out this form.

For pdfFiller’s FAQs

What is casii referral form lcmh?

The casii referral form lcmh is a form used for referring cases to the Lake County Mental Health Department.

Who is required to file casii referral form lcmh?

Anyone in Lake County with concerns about mental health issues can file a casii referral form lcmh.

How to fill out casii referral form lcmh?

The casii referral form lcmh can be filled out online or submitted in person at the Lake County Mental Health Department.

What is the purpose of casii referral form lcmh?

The purpose of the casii referral form lcmh is to report and refer individuals who may need mental health services.

What information must be reported on casii referral form lcmh?

The casii referral form lcmh requires information about the individual's name, contact information, and the reason for the referral.

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