Get the free Aftercare Referral Form - Behavioral Health Administration

Date: Referring Agency: Contact Person: Phone Number/ Email: Wraparound Aftercare Program Referral Form The Wraparound Aftercare Program is voluntary program that consists of a comprehensive package

How to fill out aftercare referral form

How to fill out aftercare referral form

1. To fill out the aftercare referral form, follow these steps:
2. Begin by entering the personal details of the individual requiring aftercare.
3. Provide information about the treatment facility or program they have completed.
4. Indicate the type and duration of treatment received.
5. Mention any specific needs or requirements for aftercare services.
6. Specify the preferred location for aftercare services, if applicable.
7. Include any additional relevant information that may assist in the referral process.
8. Review the form for accuracy and completeness before submitting it.
9. Submit the completed aftercare referral form to the appropriate department or organization.

Who needs aftercare referral form?

1. Anyone who has completed a treatment program and requires continued care and support can benefit from the aftercare referral form.
2. This form can be used by individuals seeking outpatient aftercare services, sober living arrangements, counseling, or other forms of ongoing support.
3. It is typically required by healthcare professionals, treatment facilities, or social service organizations responsible for coordinating aftercare services.

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What is aftercare referral form?

Aftercare referral form is a document used to refer individuals in need of aftercare services to the appropriate resources or facilities.

Who is required to file aftercare referral form?

Social workers, counselors, healthcare professionals, or any individual involved in the care of a person transitioning out of a treatment program may be required to file the aftercare referral form.

How to fill out aftercare referral form?

Fill out the aftercare referral form by providing necessary information about the individual in need of aftercare services, their current treatment program, and the recommended resources or facilities for aftercare.

What is the purpose of aftercare referral form?

The purpose of aftercare referral form is to ensure a smooth transition for individuals leaving a treatment program by connecting them with the necessary support and resources for ongoing care and recovery.

What information must be reported on aftercare referral form?

Information such as the individual's personal details, medical history, current treatment program, recommended aftercare resources, and any specific needs or concerns should be reported on the aftercare referral form.