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WA Excelsior Wellness WISe Referral 2021-2025 free printable template

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PH: 5095593100 FAX:5098625421 E: admissions×excelsior wellness.org 3754 W Indian Trail Rd, Spokane, WA 99208EXCELSIOR WISE REFERRAL DIRECTIONS: Email, Fax, or Mail this completed application ATTN:
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How to fill out WA Excelsior Wellness WISe Referral

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How to fill out WA Excelsior Wellness WISe Referral

01
Gather necessary client information such as name, age, and contact details.
02
Identify the reasons for referral, including specific needs and concerns.
03
Complete the referral form by filling in the client's demographic details accurately.
04
Provide a detailed description of the client's current situation and any relevant history.
05
Specify the services or support being requested from WA Excelsior Wellness.
06
Include any additional supporting documents if required.
07
Review the form for completeness and accuracy before submission.
08
Submit the referral to the appropriate contact at WA Excelsior Wellness.

Who needs WA Excelsior Wellness WISe Referral?

01
Individuals experiencing mental health challenges.
02
Families seeking support for their children's behavioral needs.
03
Clients in need of integrated care services.
04
People requiring social and emotional support to improve their well-being.
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WA Excelsior Wellness WISe Referral is a program designed to connect individuals with behavioral health services in Washington State, ensuring they receive appropriate care tailored to their needs.
Individuals who are seeking behavioral health services or providers referring clients to these services are required to file the WA Excelsior Wellness WISe Referral.
To fill out the WA Excelsior Wellness WISe Referral, ensure you provide accurate client information, the specifics of the needed services, and any relevant supporting documentation as per the guidelines.
The purpose of WA Excelsior Wellness WISe Referral is to facilitate access to comprehensive behavioral health services, promote wellness, and support individuals in improving their mental health.
The information that must be reported includes the client's demographic details, the specific concerns or needs that require attention, and any previous treatment history or services received.
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