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West Place Clubhouse Referral Form 1037 Compass Circle Suite 102 Greensburg, PA 15601 Phone: 7248342727 Fax: 7248363688 Referral Date: ___Client Information: First Name: ___ Middle Initial: ___ Last
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How to fill out west place clubhouse referral
How to fill out west place clubhouse referral
01
Obtain a referral form from West Place Clubhouse.
02
Fill out all required information on the referral form accurately.
03
Submit the completed referral form to West Place Clubhouse either in person or via email.
Who needs west place clubhouse referral?
01
Individuals who are seeking mental health services and support from West Place Clubhouse.
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What is west place clubhouse referral?
West Place Clubhouse referral is a form used to refer individuals to mental health services provided by the clubhouse.
Who is required to file west place clubhouse referral?
Case managers, social workers, therapists, or other mental health professionals are required to file west place clubhouse referrals.
How to fill out west place clubhouse referral?
West place clubhouse referral can be filled out by providing the individual's demographic information, reasons for referral, and any relevant mental health history.
What is the purpose of west place clubhouse referral?
The purpose of west place clubhouse referral is to connect individuals with mental health services and support provided by the clubhouse.
What information must be reported on west place clubhouse referral?
Information such as the individual's name, contact information, reason for referral, mental health history, and any other relevant details must be reported on west place clubhouse referral.
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