Get the free Peer Recovery Coach Referral Form.Effective 4-1-14

Peer Recovery Coach Referral Form31900 Utica Road, Fraser, iPhone: 586.541.2273 Fax: 586.541.2274Date: Client Name: Client Phone #: DOB: Gender: City in Which Client Resides: Current Treatment Provider:

How to fill out peer recovery coach referral

How to fill out peer recovery coach referral

1. To fill out a peer recovery coach referral, follow these steps:
2. Gather all necessary information about the person you are referring, including their name, contact information, and any relevant medical or treatment history.
3. Identify the reason for the referral and the specific services or support the person needs from a peer recovery coach.
4. Contact the organization or agency providing peer recovery coaching services and inquire about their referral process.
5. Obtain and complete the referral form or documentation required by the organization. Ensure that you provide accurate and detailed information.
6. Submit the completed referral form through the designated method specified by the organization. This may include email, fax, or an online portal.
7. Follow up with the organization to ensure that they have received the referral and to inquire about any additional steps or information required.
8. Stay in communication with the person you referred and provide support as needed during the referral process.
9. Maintain the confidentiality and privacy of the person you referred throughout the process.
10. If necessary, provide any additional documentation or information requested by the organization to support the referral.
11. Once the referral is processed, the organization will assign a peer recovery coach to the person and begin providing the requested services.

Who needs peer recovery coach referral?

1. Anyone who is in need of support for their recovery from substance use disorders or mental health challenges can benefit from a peer recovery coach referral.
2. This includes individuals who may be new to recovery, facing challenges in their journey, or seeking additional support to maintain their recovery.
3. Peer recovery coach referrals can also be helpful for individuals transitioning out of treatment programs or those who have previously relapsed and want to strengthen their recovery process.
4. Additionally, family members or friends of individuals in recovery can also request a peer recovery coach referral to gain guidance and understanding on how to support their loved ones.
5. Ultimately, anyone who desires support, guidance, and encouragement in their recovery process can benefit from accessing a peer recovery coach through a referral.

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What is peer recovery coach referral?

Peer recovery coach referral is a process of referring individuals struggling with addiction to peer recovery coaches who provide support and guidance in their recovery journey.

Who is required to file peer recovery coach referral?

Healthcare providers, social workers, therapists, and other professionals working with individuals in addiction recovery are required to file peer recovery coach referral.

How to fill out peer recovery coach referral?

Peer recovery coach referral can be filled out by providing the individual's personal information, addiction history, current treatment plan, and any other relevant details.

What is the purpose of peer recovery coach referral?

The purpose of peer recovery coach referral is to connect individuals in addiction recovery with trained peer coaches who can offer support, guidance, and resources to aid in their journey towards sobriety.

What information must be reported on peer recovery coach referral?

Information such as the individual's name, contact information, addiction history, treatment plan, and any specific needs or concerns should be reported on peer recovery coach referral.