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REFERRAL FOR TREATMENT 8 Hearts Health & Wellness 5331 SW Macadam Ave, Suite 285 Portland, OR 97239 pH: 5038949118 http://www.8hearts.org info 8hearts.org FAX TO: 5032176242Referring Physician/Provider:
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01
To fill out the 8 hearts referral formdoc, follow these steps:
02
Open the 8 hearts referral formdoc on your computer or device.
03
Read the instructions provided at the beginning of the form to understand the purpose and requirements.
04
Fill in the personal information section with your name, contact details, and any other relevant information.
05
Provide details about the person or organization you are referring in the designated section.
06
Mention the reasons why you are referring them and the services they may benefit from.
07
If there are any specific needs or concerns, make sure to include them to assist in the referral process.
08
Sign and date the form to validate your referral.
09
Double-check all the information you have entered to ensure accuracy and completeness.
10
Save or print a copy of the form before submitting it, if required.
11
Submit the form according to the specified instructions, either by mail, email, or any other method mentioned.
Who needs 8 hearts referral formdoc?
01
Anyone who wants to refer a person or organization to the 8 hearts program can use the 8 hearts referral formdoc. This form is typically utilized by individuals, healthcare professionals, social workers, advocates, or anyone who wishes to connect someone in need with the services provided by 8 hearts.
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What is 8 hearts referral formdoc?
The 8 hearts referral formdoc is a specific document utilized for reporting referrals and related information in certain sectors, typically involving regulatory compliance or monitoring.
Who is required to file 8 hearts referral formdoc?
Entities or individuals who have made referrals that fall within the specified guidelines or criteria set by the administering authority are required to file the 8 hearts referral formdoc.
How to fill out 8 hearts referral formdoc?
To fill out the 8 hearts referral formdoc, individuals must provide accurate and complete information as requested in the guidelines, ensuring all necessary fields are filled, and any additional documentation is attached as specified.
What is the purpose of 8 hearts referral formdoc?
The purpose of the 8 hearts referral formdoc is to streamline the reporting process of referrals to relevant authorities, ensuring transparency, compliance, and facilitating monitoring of related activities.
What information must be reported on 8 hearts referral formdoc?
The 8 hearts referral formdoc typically requires reporting details such as the nature of the referral, involved parties, dates, and any relevant supporting documentation.
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