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LESS of MN
Mental Health Services Referral Forestall Referring:Date:Student Name:Grade:Parent contacted:CPS report? Reason for referral:Please return this form to Becky Haaland by email at becky.aaland@lssmn.org
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How to fill out lss mh referral formxlsx
How to fill out lss mh referral formxlsx
01
To fill out the LSS MH referral form.xlsx, follow these steps:
02
Open the LSS MH referral form.xlsx file on your computer.
03
Read and understand the instructions provided.
04
Fill in the required personal information in the designated fields, such as name, address, contact details, etc.
05
Provide details about the individual requiring mental health services, such as their symptoms, history, and any relevant information.
06
Ensure that all information provided is accurate and up-to-date.
07
Save the completed form with a suitable name, indicating the referral date or any other relevant information.
08
Submit the filled-out form as per the specified submission process, which may vary depending on the organization or healthcare provider.
09
If necessary, make a copy of the completed form for your records.
10
Double-check all the provided information before submitting the form to ensure its completeness and accuracy.
Who needs lss mh referral formxlsx?
01
The LSS MH referral form.xlsx is typically required by individuals who want to refer themselves or someone else to the Mental Health Services (MH) provided by the LSS (Local Support System) organization or a related healthcare provider.
02
It is specifically used to request mental health services or support for individuals who may be experiencing mental health challenges or require professional assistance in dealing with mental health issues.
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What is lss mh referral formxlsx?
lss mh referral formxlsx is a form used for referring mental health patients to appropriate services.
Who is required to file lss mh referral formxlsx?
Healthcare providers and facilities are required to file lss mh referral formxlsx for their patients.
How to fill out lss mh referral formxlsx?
Lss mh referral formxlsx can be filled out by providing patient information, referral details, and any relevant medical history.
What is the purpose of lss mh referral formxlsx?
The purpose of lss mh referral formxlsx is to ensure that mental health patients receive proper care and treatment.
What information must be reported on lss mh referral formxlsx?
Information such as patient demographics, reason for referral, and any relevant medical conditions must be reported on lss mh referral formxlsx.
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