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HHSC Contract No. HHS000640200032SIGNATURE DOCUMENT FORTES HEALTH AND HUMAN SERVICES CONTRACT UNDER THE EARLY CHILDHOOD INTERVENTION SERVICES GRANT PROGRAM. Purpose Health and Human Services Commission
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How to fill out make a referral to
How to fill out make a referral to
01
Contact the designated referral coordinator or department within your organization.
02
Provide necessary information about the individual or organization you are referring.
03
Fill out the referral form or documentation provided by the referral coordinator.
04
Submit the completed referral form either electronically or in person.
Who needs make a referral to?
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Individuals or organizations who require additional assistance, services, or resources beyond what is currently available to them.
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What is make a referral to?
Make a referral to typically refers to recommending or directing someone to a particular individual, organization, or service for assistance or support.
Who is required to file make a referral to?
Anyone who identifies a need or opportunity to connect someone with external resources or services may be required to file a referral.
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To fill out a referral, one must provide detailed information about the individual in need, the reason for the referral, and any specific requirements or preferences.
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The purpose of making a referral is to ensure that individuals receive appropriate and timely support or services from specialized professionals or agencies.
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Information that must be reported on a referral typically includes the individual's name, contact information, relevant medical or social history, and the reason for the referral.
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