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Youth Substance Misuse Referral Form Name of Young Person:Date of Birth:Name of Parent/Carer: Address:Contact Tel Number: Post Code:Email:Is the young person open to or working with other Services?
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How to fill out youth substance misuse referral
How to fill out youth substance misuse referral
01
Obtain the necessary referral form from a healthcare provider or youth service organization.
02
Fill out the form with the youth's personal information, including their name, date of birth, address, and contact information.
03
Provide details about the youth's substance misuse history, including the type of substances used and frequency of use.
04
Include any relevant medical or mental health history that may impact the youth's substance misuse treatment.
05
Sign and date the referral form and submit it to the appropriate organization or healthcare provider.
Who needs youth substance misuse referral?
01
Youth who have been identified as engaging in substance misuse or who may be at risk of developing substance misuse problems may benefit from a youth substance misuse referral.
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What is youth substance misuse referral?
Youth substance misuse referral is a process of referring young individuals who are suspected of or have engaged in substance misuse to appropriate treatment or intervention services.
Who is required to file youth substance misuse referral?
Healthcare professionals, school counselors, social workers, and law enforcement officials are often required to file youth substance misuse referral.
How to fill out youth substance misuse referral?
Youth substance misuse referral forms can typically be filled out online or on paper, providing information about the young individual's demographics, behavior, substance use patterns, and any relevant medical history.
What is the purpose of youth substance misuse referral?
The purpose of youth substance misuse referral is to identify and address substance misuse issues in young individuals early on, providing them with the necessary support and resources for recovery.
What information must be reported on youth substance misuse referral?
Information such as the young individual's demographics, substance use patterns, behavior, family history, and any previous interventions or treatments must be reported on youth substance misuse referral.
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