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COMMUNITY LIVING DEPARTMENT REFERRAL FORM PLEASE PRINT PROGRAM(S) REFERRED TO:DATE OF REFERRAL:(Please indicate Waiver or County Funding)REFERRED BY:RELATIONSHIP:AGENCY/ADDRESS: PHONE:EMAIL:PERSONAL
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How to fill out community living department referral

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How to fill out community living department referral

01
To fill out a community living department referral, follow these steps:
02
Begin by gathering all necessary information about the person being referred. This includes their full name, contact information, and any relevant medical or support documentation.
03
Next, determine the reason for the referral. Is it for a specific program or service? Make sure to clearly articulate the needs or concerns that require intervention from the community living department.
04
Contact the community living department either in person, by phone, or via their website to obtain the referral form. Ensure that you have the most up-to-date version of the form, as requirements may vary.
05
Complete the referral form, providing as much detail as possible. Include information about the person's current situation, any known challenges or barriers they are facing, and any services or supports that may already be in place.
06
Review the filled-out form for accuracy and completeness. Check for any missing or unclear information that might hinder the processing of the referral.
07
Submit the referral form to the community living department according to their specified method. This may involve dropping it off in person, mailing it, or submitting it electronically.
08
Follow up with the community living department if necessary. They may require additional information or documentation to support the referral.
09
Wait for the community living department to review the referral. The timing will depend on their procedures and workload. Be patient, but don't hesitate to reach out for updates if needed.
10
If the referral is accepted, the community living department will communicate the next steps and any additional information or actions required from the person being referred or their representative.
11
If the referral is not accepted, consider reaching out to other available resources or reevaluate the needs and concerns to make a revised referral if appropriate.

Who needs community living department referral?

01
A community living department referral may be needed by individuals or their representatives who require access to specific programs, services, or supports provided by the community living department.
02
This can include individuals with disabilities, elderly individuals in need of specialized care, individuals facing significant barriers to independent living, or those seeking assistance in navigating various community-based resources.
03
Referrals may also be made by healthcare professionals, social workers, family members, or community organizations on behalf of someone in need.
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A community living department referral is a form submitted to request services or support for individuals who may require assistance with daily living activities.
Family members, caregivers, or medical professionals may be required to file a community living department referral for an individual in need of support.
To fill out a community living department referral, one must provide information about the individual in need, their medical history, daily living requirements, and any other relevant details.
The purpose of a community living department referral is to connect individuals in need with appropriate services and support to help them live independently and with dignity.
Information such as the individual's medical conditions, daily living needs, contact information, and any relevant medical history must be reported on a community living department referral form.
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