Get the free TCMHS External Referral Form 4.11x - tcmhs

REFERRAL OUR MISSION: Tri-City Mental Health Services is committed to providing the people of Maine with excellence in mental health, substance abuse, rehabilitation and life skills services, respecting

How to fill out tcmhs external referral form

How to fill out TCMHS external referral form:

1. Obtain a copy of the TCMHS external referral form from the appropriate source, such as the TCMHS website or by requesting it from a TCMHS staff member.
2. Fill in the necessary personal information, including your name, contact information, and any relevant identification numbers or codes.
3. Provide detailed information about the reason for the referral, including any relevant medical or mental health history, current symptoms or concerns, and any previous treatments or interventions that have been attempted.
4. Include information about any current medications or medical conditions that may be relevant to the referral.
5. If applicable, attach any supporting documentation or reports from other healthcare providers or agencies that may assist in the assessment and treatment process.
6. Ensure that all sections of the referral form are completed accurately and legibly.
7. Review the completed form for any errors or missing information before submitting it.
8. Submit the completed referral form to the appropriate TCMHS department or staff member, following any specified submission guidelines or instructions.

Who needs TCMHS external referral form:

1. Individuals who are seeking access to mental health services provided by TCMHS, but are not currently receiving services from the organization.
2. People who require specialized mental health treatment or interventions that TCMHS is equipped to provide.
3. Healthcare professionals or agencies who are referring a patient or client to TCMHS for mental health assessment or treatment.

For pdfFiller’s FAQs

What is tcmhs external referral form?

The tcmhs external referral form is a document used to refer individuals to external mental health services.

Who is required to file tcmhs external referral form?

Healthcare professionals and organizations involved in mental health services are required to file the tcmhs external referral form.

How to fill out tcmhs external referral form?

To fill out the tcmhs external referral form, provide the required information such as the individual's personal information, reason for referral, relevant medical history, and contact details. Follow the instructions provided on the form.

What is the purpose of tcmhs external referral form?

The purpose of the tcmhs external referral form is to facilitate the referral process and ensure individuals receive appropriate mental health services from external providers.

What information must be reported on tcmhs external referral form?

The tcmhs external referral form requires reporting of the individual's personal information (name, address, etc.), reason for referral, relevant medical history, and contact details.

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