Get the free Counselling referral form - Companion House

Companion Houseparent: Justice Elizabeth East Assisting Survivors of Torture and TraumaProfessor William Male REFERRAL to COMPANION HOUSE COUNSELLING SERVICE Tel. (02) 6251 4550; Fax. (02) 6251 8550

How to fill out counselling referral form

How to fill out counselling referral form

1. To fill out a counseling referral form, follow these steps:
2. Start by writing your name and contact information in the designated fields.
3. Provide the details of the person who needs counseling, including their name, contact information, and any relevant background information.
4. Clearly state the reason for the referral and provide any specific concerns or issues that need to be addressed.
5. Indicate the preferred type of counseling or therapy if applicable.
6. If there are any previous counseling or treatment records available, mention them and attach copies if necessary.
7. Include the name and contact information of the referring person or organization, along with their professional credentials if applicable.
8. Sign and date the form to validate the referral.
9. Double-check all the information provided and make sure it is accurate and complete.
10. Submit the completed counseling referral form to the appropriate recipient or organization as instructed.

Who needs counselling referral form?

1. Anyone who requires counseling or therapy services may need to fill out a counseling referral form. This can include individuals seeking personal counseling, couples needing relationship counseling, families in need of family therapy, or individuals referred by their healthcare providers or school counselors. The specific requirements for filling out a counseling referral form may vary depending on the organization or professionals involved in the referral process.

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What is counselling referral form?

A counselling referral form is a document used to formally refer a client to a counselling professional or service for guidance and support regarding emotional or psychological issues.

Who is required to file counselling referral form?

Typically, individuals such as healthcare providers, educators, or social workers may be required to file a counselling referral form for clients needing professional counselling services.

How to fill out counselling referral form?

To fill out a counselling referral form, provide accurate client information, describe the reason for the referral, identify any previous treatments, and include any relevant medical or psychological history.

What is the purpose of counselling referral form?

The purpose of a counselling referral form is to document the need for counselling services, streamline the referral process, and ensure that the client receives appropriate care.

What information must be reported on counselling referral form?

Information that must be reported on a counselling referral form typically includes the client's personal details, contact information, referral source, reason for the referral, and any pertinent medical or psychological history.