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NIAGARA CHILDREN Center/SMARTSTART HUB REFERRAL FORM FOR PRIMARY CARE Tel: 9056881890 ext. 110 | Fax: (905) 6889181 567 Glen Ridge Avenue, St. Catharines, ON L2T 4C2 Date referral form submitted (DD/MM/YYY):
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Schedule an appointment with a child and adolescent outpatient provider.
02
Arrive at the appointment with any necessary paperwork or information about the child's medical history.
03
Be prepared to discuss any concerns or issues you have about the child's behavior or mental health.
04
Participate in the evaluation and treatment planning process with the provider.
05
Follow the provider's recommendations for ongoing care and follow-up appointments.

Who needs child and adolescent outpatient?

01
Children and adolescents who are experiencing emotional or behavioral issues that are impacting their daily functioning may benefit from child and adolescent outpatient services.
02
Parents or caregivers who are concerned about a child's mental health or well-being may also seek out these services for support and guidance.
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Child and adolescent outpatient refers to mental health services provided to children and adolescents on an outpatient basis.
Child and adolescent outpatient services are typically filed by licensed mental health professionals who provide treatment to children and adolescents.
Child and adolescent outpatient forms can be filled out by documenting the services provided, the patient's progress, and any recommendations for future treatment.
The purpose of child and adolescent outpatient services is to provide mental health treatment and support to children and adolescents without requiring them to stay in a hospital or residential facility.
Information that must be reported on child and adolescent outpatient includes the patient's demographic information, treatment plan, progress notes, and any medications prescribed.
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