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Office of Maine Refugee Services Central Intake and Referral Form
Date: New Intake
Rein takes
FOR EligibleImmigration Status:
ARM/ARM
APA
Client Track #___ Secondary Mg
Asylum Grantee(s)
UP
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How to fill out central intake and referral
How to fill out central intake and referral
01
Obtain the central intake and referral form from the appropriate agency or website
02
Fill out all personal information accurately, including name, contact information, and reason for seeking services
03
Provide any relevant medical history or documentation requested on the form
04
Submit the completed form to the designated intake office or contact person
05
Follow up as necessary to ensure your referral is processed in a timely manner
Who needs central intake and referral?
01
Individuals who require specialized services or assistance from a specific organization or program
02
People seeking mental health support or counseling services
03
Patients needing medical treatment referrals to specialists
04
Anyone looking to access community resources or social services
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What is central intake and referral?
Central intake and referral is a process of receiving and directing referrals for services or assistance to the appropriate agency or organization.
Who is required to file central intake and referral?
Certain agencies or organizations may be required to file central intake and referral, depending on the specific guidelines and regulations in place.
How to fill out central intake and referral?
Central intake and referral forms can typically be filled out online, through a designated portal, or by contacting the appropriate central intake office.
What is the purpose of central intake and referral?
The purpose of central intake and referral is to streamline the process of connecting individuals in need with the services or assistance they require.
What information must be reported on central intake and referral?
Information such as the individual's name, contact information, reason for referral, and any relevant background information may be required on central intake and referral forms.
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