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UC SHIP Mental Health Referral 20192020 Prior Notification to SHE Insurance Office Required When a student with UC SHIP is referred to a Community Mental Health provider, the following protocol should

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How to fill out ship mental health referral

01

To fill out a ship mental health referral, follow these steps: 1. Obtain a ship mental health referral form from your ship's medical department.

02

Fill in your personal information, including your name, date of birth, and social security number.

03

Provide details about your current mental health concerns, such as symptoms and any previous treatment.

04

Describe any medications you are currently taking for mental health conditions.

05

Indicate whether you have any known allergies or medical conditions.

06

Sign and date the referral form.

07

Submit the completed form to the ship's medical department for further processing.

Who needs ship mental health referral?

01

Anyone who is currently serving on a ship and requires mental health support can benefit from a ship mental health referral. This may include crew members experiencing mental health symptoms, emotional distress, or in need of counseling and therapy services.

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What is ship mental health referral?

A ship mental health referral is a formal request for evaluation and treatment of a crew member's mental health issues, initiated by the ship's management or responsible personnel.

Who is required to file ship mental health referral?

The ship's captain or designated medical officer is typically required to file a ship mental health referral when a crew member is identified as needing mental health support.

How to fill out ship mental health referral?

To fill out a ship mental health referral, one should complete the designated form with the crew member's personal details, description of the mental health concerns, observations, and any relevant medical history, ensuring all required sections are thoroughly addressed.

What is the purpose of ship mental health referral?

The purpose of a ship mental health referral is to ensure that crew members receive the necessary mental health support and treatment to maintain their well-being and ensure safe operations on board.

What information must be reported on ship mental health referral?

The information that must be reported includes the crew member's name, identification details, nature of the mental health issue, any symptoms exhibited, previous mental health history, and the urgency of the referral.

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