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Get the free Universal Local Care Team (LCT) Referral Form - goccp maryland

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Local Care Team and Interagency Placement Committee Referral Form Effective March 1, 2021Instructions Please complete the form to make a referral to the Local Care Team or the Interagency Placement
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The universal local care team is a team of healthcare professionals who work together to provide personalized care to individuals within a community.
Healthcare facilities and providers are required to file universal local care team.
Universal local care team can be filled out online through a designated platform provided by the healthcare regulatory body.
The purpose of universal local care team is to ensure coordinated and efficient care delivery to individuals in need within a specific locality.
Information such as patient demographics, medical history, current medications, treatment plans, and healthcare provider contact information must be reported on universal local care team.
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