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Thank you for your referral to Samaritan Behavioral Health, Inc. CSD Referrals are to be made by completing the attached CSD Intake Packet and sending it to: Samaritan Behavioral Health, Inc. Access

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How to fill out csd intake referral information

01

Obtain the CSD intake referral form from the CSD office or website.

02

Fill out all required personal information such as name, contact information, and demographics.

03

Provide detailed information about the reason for seeking CSD services and any relevant medical history.

04

Include any additional documentation or reports that may support the referral.

05

Submit the completed form to the designated CSD intake coordinator or office.

Who needs csd intake referral information?

01

Individuals seeking services from the CSD department.

02

Referral sources such as healthcare providers, educators, or social workers who are referring someone for CSD services.

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What is csd intake referral information?

CSD intake referral information is the documentation provided to Child Services Division when a child or family is referred for services.

Who is required to file csd intake referral information?

Any agency, organization, or individual who refers a child or family to Child Services Division is required to file csd intake referral information.

How to fill out csd intake referral information?

CSD intake referral information can be filled out online or submitted through the mail using the designated forms provided by the Child Services Division.

What is the purpose of csd intake referral information?

The purpose of csd intake referral information is to provide Child Services Division with detailed information about the child or family being referred, including their needs, background, and any relevant history.

What information must be reported on csd intake referral information?

CSD intake referral information must include details about the child or family's situation, any previous services received, any risk factors present, and the reasons for the referral.

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