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Substance Use Service Referral Fax: 416.323.7739 Telephone: 416.323.7559Patient Information Name: Date of Birth: Health Card Number: Version Code: Address: Telephone Number: Can a confidential message
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How to fill out substance use service referral

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How to fill out substance use service referral

01
To fill out a substance use service referral, follow these steps:
02
Begin by gathering all necessary information about the individual who needs the referral, such as their name, contact information, and any relevant medical history.
03
Contact the appropriate substance use service provider or organization to obtain the required referral form. This can usually be done by phone or through their website.
04
Fill out the referral form completely and accurately. Make sure to provide all requested information, including details about the individual's substance use history, any previous treatment received, and any current medications being taken.
05
If there are any specific services or programs that the individual requires, indicate these on the referral form. This could include detoxification services, outpatient counseling, or residential treatment.
06
If necessary, obtain any required signatures or authorizations, such as those from the individual seeking services or from their legal guardian if applicable.
07
Double-check the completed referral form for any errors or missing information. Ensure that all sections are legible and easily understandable.
08
Submit the completed referral form to the designated substance use service provider or organization. This may be done in person, by mail, or through an online submission portal.
09
Keep a copy of the referral form for your records. This can be useful for future reference or documentation purposes.
10
Follow up with the substance use service provider or organization to ensure that the referral has been received and that appropriate actions are being taken to provide the necessary services.
11
If needed, provide any additional information or documentation requested by the service provider to support the referral process.
12
Remember to treat all information obtained during the referral process with confidentiality and respect the individual's privacy rights.

Who needs substance use service referral?

01
Substance use service referral is needed by individuals who require assistance with their substance use-related issues.
02
This may include:
03
- Individuals who are struggling with drug or alcohol addiction and need professional treatment
04
- People who have experienced negative consequences as a result of their substance use and wish to address these issues
05
- Individuals who have completed a detoxification program and are seeking ongoing support and counseling
06
- Any person who believes they or someone they know would benefit from substance use services and wishes to explore treatment options
07
The need for a substance use service referral may vary depending on the individual's specific circumstances and the available resources in their community. It is essential to consult with healthcare professionals, addiction specialists, or substance use service providers to determine if a referral is necessary and appropriate.
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Substance use service referral is a formal process in which individuals are directed to appropriate treatment services for substance use disorders.
Healthcare providers, addiction specialists, and certain social services organizations are typically required to file substance use service referrals for individuals seeking assistance.
To fill out a substance use service referral, you should gather necessary patient information, including personal details, substance use history, and preferred treatment options, and complete the referral form with this data.
The purpose of substance use service referral is to connect individuals in need of support for substance use disorders to appropriate treatment services and resources.
The information that must be reported includes the patient's personal information, substance use history, diagnosis, and any other relevant medical or social information pertinent to treatment.
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