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External Coordinated Access Referral Form Is the individual aware that a referral is being made on their behalf? Is the individual aged 16 or over? Yes Yes No Client Personal Information: Name: Address:
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How to fill out external coordinated access referral

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How to fill out external coordinated access referral

01
To fill out an external coordinated access referral, follow these steps:
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Start by gathering all relevant information such as client details, medical history, and referral reason.
03
Fill out the referral form completely and accurately, providing all necessary information and documentation.
04
Clearly indicate the client's needs, preferences, and any specific requirements for the referral.
05
Include any supporting documents or reports that may be helpful in assessing the client's eligibility or needs.
06
Review the completed referral form to ensure all information is correct and up-to-date.
07
Submit the filled-out referral form according to the designated procedure or contact person.
08
Follow up with the relevant parties to ensure that the referral has been received and processed.
09
Keep a copy of the filled-out referral form and all supporting documents for your records.
10
Communicate with the client and provide necessary updates or feedback regarding the referral status.
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Maintain confidentiality and privacy of the client's information throughout the referral process.

Who needs external coordinated access referral?

01
Individuals who require specialized services or support from external agencies or organizations may need an external coordinated access referral.
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This can include individuals with complex medical conditions, disabilities, mental health issues, or individuals requiring specific social services.
03
External coordinated access referrals are typically used when there is a need to connect the client with relevant resources and coordinate their care and support.
04
Referrals may be initiated by healthcare professionals, social workers, case managers, or individuals themselves who recognize the need for external assistance.
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External coordinated access referral is a process used to assess and manage access to various services and resources by coordinating information and referrals across multiple organizations.
Organizations or individuals who are seeking assistance or resources that require coordinated access are required to file an external coordinated access referral.
To fill out an external coordinated access referral, provide accurate information about the individual or organization seeking assistance, the specific services needed, and any relevant documentation required by the coordinating agency.
The purpose of external coordinated access referral is to streamline access to services, ensure individuals receive the appropriate support, and facilitate collaboration between different service providers.
The information that must be reported includes personal details of the individual seeking assistance, the nature of the request, any urgent needs, and relevant histories or data that may affect service provision.
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