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Play Therapy Referral Form Name of Child days Dated/FClassYearName of referrerFamily status: Lone/step/carer contact Details Ethnic OriginExternal Agencies Involved (specify):Referred by: Self Teacher
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How to fill out play therapy referral form

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How to fill out play therapy referral form

01
To fill out a play therapy referral form, follow these steps:
02
Start by providing your personal information such as your name, address, and contact details.
03
Specify the reason for the referral and provide relevant details about the child or client who requires play therapy.
04
Include any relevant medical or psychological history that may be helpful for the therapist to know.
05
Provide information about the child's previous experiences or interventions related to their emotional or behavioral concerns.
06
Indicate any specific goals or expectations you have for the play therapy sessions.
07
Include any additional information or concerns that you think may be important for the therapist to know.
08
Review the form to ensure all information is accurate and complete.
09
Submit the filled-out referral form to the appropriate play therapy provider or organization.
10
Keep a copy of the form for your records.

Who needs play therapy referral form?

01
Play therapy referral forms are typically needed by individuals or professionals who believe that a child or client would benefit from play therapy.
02
This may include parents or guardians seeking therapeutic support for their child, teachers or school counselors referring a student, mental health professionals making a recommendation, or any other person involved in the care of a child who recognizes the potential benefits of play therapy.
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Play therapy referral form is a document used to refer individuals, typically children, to participate in play therapy sessions.
Typically, licensed mental health professionals such as therapists, counselors, or psychologists are required to file play therapy referral forms.
The play therapy referral form usually requires information about the client's background, reason for referral, any relevant medical or psychological history, and contact information.
The purpose of the play therapy referral form is to provide necessary information for the therapist or mental health professional to assess and determine an appropriate treatment plan for the client.
Information such as client demographics, presenting issues, medical history, previous therapy experiences, and contact information of the referring party may need to be reported on the play therapy referral form.
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