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Behavioral Health Court Referral Form Referral Source: ___Referral Date: ___Name: ___Date of Birth: ___Address: ___Phone Number: ______ County of Residence: ___Requesting Transfer?: Y / Incarcerated?:

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How to fill out behavioral health court referral

01

Obtain the referral form from the behavioral health court program coordinator.

02

Fill out all required personal information including name, address, phone number, and date of birth.

03

Provide a detailed explanation of the individual's mental health history and current treatment needs.

04

Include any relevant documentation such as psychiatric evaluations, therapy reports, and medication lists.

05

Obtain consent from the individual to participate in the behavioral health court program.

Who needs behavioral health court referral?

01

Individuals with mental health conditions who have committed a non-violent offense and would benefit from specialized treatment and monitoring.

02

Those who have been identified as needing mental health services by a mental health professional or the criminal justice system.

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What is behavioral health court referral?

Behavioral health court referral is a process in which individuals who have mental health or substance abuse issues are referred to a specialized court that focuses on addressing their treatment needs.

Who is required to file behavioral health court referral?

Behavioral health court referral can be filed by individuals, mental health professionals, law enforcement officers, or the court itself.

How to fill out behavioral health court referral?

To fill out a behavioral health court referral, one must provide detailed information about the individual's mental health or substance abuse issues, any treatment recommendations, and any legal history.

What is the purpose of behavioral health court referral?

The purpose of a behavioral health court referral is to provide individuals with the necessary treatment and support to address their mental health or substance abuse issues, while also addressing any legal concerns.

What information must be reported on behavioral health court referral?

Information that must be reported on a behavioral health court referral includes the individual's mental health or substance abuse diagnosis, treatment recommendations, legal history, and any other relevant information.

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