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INCLUSION OUTREACH REFERRAL FORM 1031 Lucas Avenue Victoria BC, V8X 5L2 TEL: (250) 595-2088 FAX: (250) 592-5976 Website: www.pisp.ca PEN # I. STUDENT INFORMATION Surname: Given Name(s): Birthdate:
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How to fill out referral pkg - pisp:

01
Start by gathering all the necessary information: Make sure you have all the required details of the person or organization you are referring. This may include their name, contact information, and any relevant background or situation.
02
Complete the referral form: Use the referral package or PISP (Provider Initiated Self-referral Program) documentation provided. Fill out the form accurately and provide as much detail as possible to ensure a smooth referral process.
03
Attach supporting documents: If there are any supporting documents required for the referral, such as medical records or previous assessments, make sure to include them with the completed referral package. This will provide additional context for the referral.
04
Review and double-check: Before submitting the referral, take a few moments to carefully review all the information you have entered. Ensure that everything is accurate and complete, as any errors or missing details can potentially delay the referral process.

Who needs referral pkg - pisp:

01
Healthcare providers: Referral packages or PISP are typically used by healthcare providers or professionals who need to refer patients or clients to other specialists, organizations, or services. This can include doctors, nurses, therapists, social workers, and other healthcare professionals.
02
Social service agencies: Referral packages can also be used by social service agencies or organizations that connect individuals or families with various services such as housing, employment, education, or mental health support. These agencies may require referrals to other programs or resources that can better assist the individuals they are working with.
03
Individuals seeking specialized services: In some cases, individuals themselves may need to fill out a referral package or utilize a PISP to access specialized services. This can occur when a person requires a referral from their primary healthcare provider to consult with a specialist or when they need to access specific resources or programs.
Overall, referral packages or PISP are essential tools for connecting individuals with appropriate services, specialists, or resources. By properly filling out these packages and understanding who needs them, you can ensure a smooth and efficient referral process.
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Referral pkg - pisp stands for Referral Package - Payment Initiation Service Provider. It is a set of documents and information that needs to be submitted when referring a Payment Initiation Service Provider (PISP) to the appropriate regulatory authority.
Entities such as banks, financial institutions, or other relevant parties who are referring a PISP to the regulatory authority are required to file the referral package.
The referral package for a PISP typically includes information such as the PISP's contact details, business model, regulatory information, and any other relevant documents. It is important to carefully follow the guidelines provided by the regulatory authority when filling out the referral package.
The purpose of the referral package for a PISP is to provide the regulatory authority with all the necessary information and documentation to assess the PISP's compliance with regulations and ensure consumer protection.
The information that must be reported on a referral package for a PISP may include the PISP's legal entity details, ownership structure, payment services offered, agent details, and any other information requested by the regulatory authority.
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