Get the free CIT Referral Form

National CIT Referral Form CIT Phone: 0879792589 CIT Fax: 01 4987132 ALL FIELDS MUST BE COMPLETEDPatient Details Sex: Male FemaleSurname: Forename:Next of Kin (NOK) Name:Address/Discharge Address:NOK

How to fill out cit referral form

How to fill out cit referral form

1. Obtain a copy of the CIT referral form from the appropriate agency or organization.
2. Fill out the personal information section, including name, address, phone number, and date of birth.
3. Provide detailed information about the individual who is in need of CIT services, including relevant medical history, mental health concerns, and any past interactions with law enforcement.
4. Specify the reason for the CIT referral and any specific goals or outcomes that are desired.
5. Obtain any necessary signatures from the individual or their legal guardian.
6. Submit the completed CIT referral form to the appropriate agency or organization for processing.

Who needs cit referral form?

1. Individuals who are experiencing a mental health crisis and may benefit from specialized Crisis Intervention Team (CIT) services.
2. Law enforcement officers who encounter individuals with mental health issues and need to refer them to CIT services for assistance.

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What is cit referral form?

The cit referral form is a document used to refer individuals to Crisis Intervention Team (CIT) programs for mental health crises.

Who is required to file cit referral form?

Law enforcement officers and mental health professionals are typically required to file cit referral forms.

How to fill out cit referral form?

To fill out a cit referral form, you will need to provide information about the individual in crisis, including their name, contact information, and details about the crisis situation.

What is the purpose of cit referral form?

The purpose of the cit referral form is to ensure that individuals in mental health crises receive appropriate assistance and support from CIT programs.

What information must be reported on cit referral form?

Information such as the individual's name, contact information, details of the crisis situation, and any known mental health history must be reported on the cit referral form.