Get the free Overdose Outreach Team Referral Form - Regina
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OVERDOSE OUTREACH TEAM (NOT) REFERRAL FORM PHONE: 3065103445 EMAIL: OOTRegina@saskhealthauthority.ca DEMOGRAPHIC INFORMATION: NAME OF CLIENT:HEALTH SERVICES NUMBER:DATE OF BIRTH:(If available)(If
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How to fill out overdose outreach team referral
How to fill out overdose outreach team referral
01
Contact the overdose outreach team to request a referral form.
02
Fill out the referral form with the individual's name, contact information, and any relevant background information.
03
Submit the completed referral form to the overdose outreach team for review and follow-up.
Who needs overdose outreach team referral?
01
Individuals who have experienced or are at risk of experiencing an overdose
02
Individuals struggling with substance use disorders
03
Community members, family members, or friends of individuals who may benefit from overdose prevention and support services
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What is overdose outreach team referral?
The overdose outreach team referral is a process of referring individuals who have experienced or are at risk for an overdose to a dedicated outreach team for assistance and support.
Who is required to file overdose outreach team referral?
Healthcare providers, emergency responders, and community organizations are required to file overdose outreach team referrals.
How to fill out overdose outreach team referral?
To fill out an overdose outreach team referral, you must provide details about the individual's overdose history, contact information, and any relevant medical or social support needs.
What is the purpose of overdose outreach team referral?
The purpose of an overdose outreach team referral is to connect individuals at risk for overdose with necessary support services and resources to prevent future incidents.
What information must be reported on overdose outreach team referral?
Information such as the individual's name, age, contact information, overdose history, and any immediate support needs must be reported on an overdose outreach team referral.
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