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DOUGLAS COUNTY BEHAVIORAL HEALTH COURT REFERRAL FORM REFERRAL FORMS SHOULD BE EMAILED TO: dabhc@douglascountyks.org Proposed Participant ___ Date:___ Race: ___ Hispanic or NonHispanic? Gender: ___
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How to fill out behavioral-health-court-referral-form

01
Obtain a copy of the behavioral-health-court-referral-form from the appropriate source.
02
Fill out the client's personal information, including name, address, contact information, and any relevant identification numbers.
03
Provide detailed information about the client's behavioral health history, including any diagnoses, treatments, medications, and providers.
04
Include a brief summary of the client's current mental health and/or substance abuse issues.
05
Fill out any required fields regarding legal history, current legal issues, and court involvement.
06
Obtain any necessary signatures from the client, legal representatives, and referring agencies.
07
Submit the completed form to the designated court or agency according to their specific instructions.

Who needs behavioral-health-court-referral-form?

01
Individuals who are involved in the court system and have behavioral health issues that may benefit from specialized court programs or services.
02
Mental health professionals or agencies referring clients to behavioral health court programs.
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Behavioral-health-court-referral-form is a form used to refer individuals with behavioral health issues to court for evaluation and possible treatment.
Behavioral-health-court-referral-form can be filed by healthcare providers, social workers, or legal professionals who believe an individual would benefit from court-mandated treatment for their behavioral health issues.
Behavioral-health-court-referral-form should be completed with accurate information about the individual's behavioral health issues, treatment history, and any relevant legal concerns. The form must be signed by the referring professional.
The purpose of behavioral-health-court-referral-form is to provide a legal pathway for individuals to receive the treatment they need for their behavioral health issues, potentially through court-ordered programs.
Behavioral-health-court-referral-form must include the individual's personal information, a description of their behavioral health issues, treatment history, and any legal concerns that may be relevant to their case.
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Relevant keywords

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