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NEW YORK CITY DEPARTMENT OF
HEALTH AND MENTAL HYGIENE
Osiris Bar bot, MDCommissionerGotham Center
4209 28th Street, 17th Floor
Queens, NY 111014132Coordinated Intake and Referral for Home Visiting
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How to fill out coordinated intake and referral
How to fill out coordinated intake and referral
01
Start by gathering all necessary information and documents relevant to the intake process, such as identification, contact information, previous services received, and current needs.
02
Contact the coordinated intake and referral agency or program in your area either in person, by phone, or online.
03
Provide the necessary information and answer any questions or assessments asked by the intake specialist. Be honest and accurate in providing your personal information and needs.
04
Based on your specific situation and needs, the intake specialist will assess and determine the appropriate services and resources available to you.
05
Follow any instructions or referrals provided by the intake specialist, such as attending specific programs, filling out additional forms, or contacting other organizations.
06
Keep a record of the intake process, including any referral information, case numbers, or important dates.
07
Follow up with the coordinated intake and referral agency if you have any questions or concerns throughout the process.
Who needs coordinated intake and referral?
01
Coordinated intake and referral is typically needed by individuals or households who are seeking assistance or support in accessing various social services and resources.
02
This can include individuals experiencing homelessness, individuals with mental health needs, individuals living in poverty, individuals with disabilities, individuals in need of housing assistance, individuals in need of emergency food or shelter, individuals seeking employment services, individuals in need of healthcare services, and individuals who require assistance with other essential needs.
03
The specific eligibility criteria may vary based on the services and programs available in each area, but coordinated intake and referral is generally designed to assist those who are in need and require guidance in accessing appropriate resources.
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What is coordinated intake and referral?
Coordinated intake and referral is a process by which individuals seeking services are connected with appropriate resources in a seamless and efficient manner.
Who is required to file coordinated intake and referral?
Service providers, agencies, and organizations involved in providing social services are required to file coordinated intake and referral.
How to fill out coordinated intake and referral?
To fill out coordinated intake and referral, service providers must collect relevant information from individuals seeking services, assess their needs, and refer them to appropriate resources.
What is the purpose of coordinated intake and referral?
The purpose of coordinated intake and referral is to ensure that individuals in need of social services receive timely and appropriate assistance.
What information must be reported on coordinated intake and referral?
Information such as individual's demographic details, reason for seeking services, any assessments conducted, and referrals made must be reported on coordinated intake and referral.
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