Get the free BHJI REFERRAL FORM Mass.gov

The North Star BHI Program serves all of Worcester CountyBHJI REFERRAL FORM Date of Referral: ___ Name: ___ D.O.B. ___ Address, City: ___ Phone/Cell #: ___ Gender:___ Social Security #: ___ Preferred

How to fill out bhji referral form massgov

How to fill out bhji referral form massgov

1. To fill out the bhji referral form on massgov, follow these steps:
2. Go to the massgov website and search for the bhji referral form.
3. Download the form and open it in a PDF reader.
4. Read the instructions carefully to understand the requirements and purpose of the form.
5. Fill in your personal information such as name, address, contact details, etc. as requested.
6. Provide detailed information about the person you are referring, including their name, date of birth, contact information, etc.
7. Answer all the questions accurately and provide any additional information or documentation as required.
8. Review the completed form to ensure all information is correct and nothing is missed.
9. Save a copy of the filled-out form for your records.
10. Submit the form as per the instructions provided on the massgov website.

Who needs bhji referral form massgov?

1. Anyone who wants to refer someone to the Behavioral Health Justice Involved (BHJI) program in Massachusetts may need to fill out the bhji referral form on massgov. This form is typically used by individuals, social workers, counselors, law enforcement agencies, or other professionals who are involved in the criminal justice system and want to connect someone with behavioral health services and support.

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What is bhji referral form massgov?

The bhji referral form massgov is a form used for referring individuals to the Behavioral Health Justice Initiative (BHJI) in Massachusetts.

Who is required to file bhji referral form massgov?

Law enforcement officers, court personnel, and other professionals involved in the criminal justice system are required to file the bhji referral form massgov.

How to fill out bhji referral form massgov?

The bhji referral form massgov can be filled out online on the Massachusetts government website or submitted in person at the BHJI office.

What is the purpose of bhji referral form massgov?

The purpose of the bhji referral form massgov is to connect individuals with behavioral health needs to appropriate services and support through the BHJI program.

What information must be reported on bhji referral form massgov?

The bhji referral form massgov requires information such as the individual's name, contact information, criminal history, mental health diagnosis, and current treatment plan.