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Child & Family Support Program 1750 E. Fairmount Avenue Baltimore, MD 21231 Referral Line: 4439233285 Fax: 4439233845 Golden kennedykrieger.orgChild/Adolescent Mental Health Services Child Information
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How to fill out child-adolescent-mental-health-services-referral
How to fill out child-adolescent-mental-health-services-referral
01
Start by downloading the child-adolescent-mental-health-services-referral form from the official website.
02
Fill in the personal details of the child or adolescent, including their name, date of birth, and contact information.
03
Provide information about the child or adolescent's primary caregiver, including their name and contact information.
04
Specify the reason for the referral and provide any relevant medical or psychological history of the child or adolescent.
05
Indicate any previous treatments or interventions that have been tried, along with their outcomes.
06
Include any additional information or concerns that you think might be relevant for the mental health services provider.
07
Sign and date the referral form.
08
Submit the completed form to the designated mental health services provider or follow the instructions provided on where to send the referral.
Who needs child-adolescent-mental-health-services-referral?
01
Child-adolescent-mental-health-services-referral is needed by children or adolescents who require specialized mental health services.
02
It is typically used when a child or adolescent is experiencing emotional or behavioral difficulties that require intervention from mental health professionals.
03
This referral form helps in ensuring that the child or adolescent receives appropriate care and support for their mental health needs.
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What is child-adolescent-mental-health-services-referral?
Child-adolescent-mental-health-services-referral is a process of referring a child or adolescent to mental health services for assessment, diagnosis, and treatment.
Who is required to file child-adolescent-mental-health-services-referral?
Healthcare providers, schools, and concerned individuals are required to file child-adolescent-mental-health-services-referral.
How to fill out child-adolescent-mental-health-services-referral?
To fill out child-adolescent-mental-health-services-referral, one needs to provide the child's information, reason for referral, and any relevant medical history or concerns.
What is the purpose of child-adolescent-mental-health-services-referral?
The purpose of child-adolescent-mental-health-services-referral is to ensure that children and adolescents receive timely and appropriate mental health services.
What information must be reported on child-adolescent-mental-health-services-referral?
Child-adolescent-mental-health-services-referral must include the child's name, age, reason for referral, any known mental health issues, and contact information for the referrer.
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