Get the free DHS-Institutional Referral Form - NYC.gov

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How to fill out dhs-institutional referral form

How to fill out dhs-institutional referral form

1. To fill out the DHS-Institutional Referral form, follow these steps:
2. Begin by downloading the form from the official DHS website or obtain a hard copy from the local DHS office.
3. Read the instructions and familiarize yourself with the sections of the form.
4. Start by providing your personal information, including your full name, address, contact number, and email.
5. If applicable, provide the name and contact information of your legal representative or guardian.
6. In the next section, provide detailed information about the institution or agency you are referring to DHS, such as the name, address, and contact details.
7. Specify the reason for the referral and provide a detailed description of the situation or concerns that require DHS intervention.
8. If you have any supporting documentation, such as reports, evidence, or previous communication, make sure to attach copies to the form.
9. Complete any additional sections required by your local DHS office, which may include questions about the individual's medical history, current diagnosis, or living conditions.
10. Review the form to ensure all the information is accurate and complete. Make any necessary corrections or additions before submission.
11. Once completed, submit the form to your local DHS office either by mail or in person. If submitting electronically, follow the instructions provided on the official DHS website.
12. Keep a copy of the filled-out form for your records.

Who needs dhs-institutional referral form?

1. The DHS-Institutional Referral form is typically needed by individuals or organizations who are aware of a situation or concern that requires the attention of the Department of Human Services (DHS).
2. This may include:
3. - Healthcare professionals who suspect abuse or neglect in a healthcare facility.
4. - Social workers or counselors who have identified a vulnerable individual requiring DHS assistance.
5. - Teachers or school administrators who have concerns about a student's welfare or safety.
6. - Legal representatives or guardians seeking DHS intervention for their clients.
7. - Concerned citizens who become aware of situations involving potential harm or neglect.
8. It is important to consult the official guidelines and regulations of your local DHS office to determine the specific situations and criteria that warrant the use of the DHS-Institutional Referral form.

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What is dhs-institutional referral form?

The dhs-institutional referral form is a document used to report institutional referrals to the Department of Human Services.

Who is required to file dhs-institutional referral form?

Certain institutions such as hospitals, nursing homes, and educational facilities are required to file the dhs-institutional referral form.

How to fill out dhs-institutional referral form?

The dhs-institutional referral form can be filled out online or submitted through mail, following the instructions provided by the Department of Human Services.

What is the purpose of dhs-institutional referral form?

The purpose of the dhs-institutional referral form is to ensure that incidents or concerns related to institutional care are reported and addressed promptly.

What information must be reported on dhs-institutional referral form?

The dhs-institutional referral form must include details about the incident or concern, individuals involved, date and time of occurrence, and any actions taken.