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Office of the Public Guardian and Conservator (MC PGC) 209 SW 4th Ave., Suite 510 Portland, Oregon 97204 Phone (503) 9884567 Fax (503) 9884075 Web: www.multco.us/ads/publicguardianprogram Email: mcpgc@multco.usPROGRAM

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How to fill out pg referral and intake

01

Obtain a PG referral form from the appropriate agency or organization.

02

Fill in all the required information on the referral form, including details about the individual in need of services and the reason for the referral.

03

Ensure that all necessary documentation is attached to the referral form, such as medical records or assessment reports.

04

Submit the completed referral form and supporting documents to the designated intake coordinator or contact person.

Who needs pg referral and intake?

01

Individuals who require specialized services or support that are not readily available through regular channels.

02

Those who have been diagnosed with a mental health disorder, substance abuse issues, or other complex needs.

03

People who have experienced trauma, homelessness, or other significant life challenges.

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What is pg referral and intake?

PG referral and intake is the process by which individuals are referred to and intake for problem gambling services.

Who is required to file pg referral and intake?

Healthcare professionals and counselors are required to file PG referral and intake on behalf of their clients.

How to fill out pg referral and intake?

To fill out pg referral and intake, healthcare professionals and counselors must gather information on their client's gambling behavior and treatment needs.

What is the purpose of pg referral and intake?

The purpose of pg referral and intake is to connect individuals with problem gambling services and treatment programs.

What information must be reported on pg referral and intake?

Information reported on PG referral and intake includes the individual's gambling history, treatment preferences, and contact information.

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