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Tollfree18774701700 fax16042712606 email corporate simpleabilities.com www.simpleabilities.comPAGE 1 OF 3Hand Injury & Other Body AreasReferral Forms IS A FILLABLE FORM. Please save this file and
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Our referral forms are intended for individuals, organizations, or professionals who need to refer someone for a specific service, assistance, or support.
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This could include medical professionals referring patients to specialists, social workers referring clients for social services, employers referring employees for additional training, or individuals referring friends or family members for counseling or other resources.
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Anyone who needs to formally refer another person can use our referral forms to ensure clear communication and documentation of the referral process.
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Our referral forms can be used for submitting information or requests regarding services, resources, or referrals needed by individuals or organizations.
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Individuals or organizations seeking referrals or services are required to file our referral forms.
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To fill out our referral forms, one must provide accurate information as requested, ensuring all requisite fields are completed before submission.
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The information that must be reported includes contact details, the nature of the request, and relevant background information pertinent to the referral.
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