Get the free www.myflfamilies.comservice-programssamhRecovery Residence Referral Log - Florida De...
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Date of ReferralClient NameRecovery Residence Referral Record Copy of Referral (Sent and/or Received) YES or Received From (include name/location)Referred To (include name/location)Provider Staff
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How to fill out wwwmyflfamiliescomservice-programssamhrecovery residence referral log
How to fill out wwwmyflfamiliescomservice-programssamhrecovery residence referral log
01
Go to www.myflfamilies.com/service-programs/samh/recovery-residence-referral-log
02
Fill out the required personal information such as name, contact information, and address
03
Provide details about the recovery residence referral including the name of the residence, location, and contact information
04
Submit the completed form online or follow the instructions for mailing or faxing
Who needs wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
01
Individuals seeking recovery residence placement for themselves or a loved one
02
Healthcare professionals or providers referring clients to recovery residences
03
Social workers or case managers assisting individuals with substance abuse issues
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What is wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
The wwwmyflfamiliescomservice-programssamhrecovery residence referral log is a form used to refer individuals to recovery residences within the SAMH (Substance Abuse and Mental Health) program.
Who is required to file wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
Providers within the SAMH program are required to file the wwwmyflfamiliescomservice-programssamhrecovery residence referral log.
How to fill out wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
The wwwmyflfamiliescomservice-programssamhrecovery residence referral log is filled out by providing information about the individual being referred and the specific recovery residence.
What is the purpose of wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
The purpose of the wwwmyflfamiliescomservice-programssamhrecovery residence referral log is to facilitate the referral process for individuals within the SAMH program.
What information must be reported on wwwmyflfamiliescomservice-programssamhrecovery residence referral log?
The wwwmyflfamiliescomservice-programssamhrecovery residence referral log must include information about the individual being referred, the reason for referral, and details about the recovery residence.
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