Get the free Referral Form. (Substance Misuse) - Dublin - The SAOL Project

HSE Part time Drugs Rehabilitation Scheme Information Release Consent Form, ___ have read the attached completed Referral Form and consent to it being used to support my application for a drugs' rehabilitation

How to fill out referral form substance misuse

How to fill out referral form substance misuse

1. Obtain the referral form for substance misuse from the appropriate organization or healthcare provider.
2. Fill out the client's personal information including name, contact details, and date of birth.
3. Provide details of the substance misuse issue including frequency, duration, and severity of use.
4. Include any relevant medical history or current medications the client is taking.
5. Clearly state the reason for the referral and what support or treatment is being requested.
6. Sign and date the form before submitting it to the designated person or department.

Who needs referral form substance misuse?

1. Individuals who are struggling with substance misuse and are seeking support or treatment.
2. Healthcare providers, social workers, or other professionals who are referring clients for substance misuse services.

For pdfFiller’s FAQs

Can I create an electronic signature for signing my referral form substance misuse in Gmail?

With pdfFiller's add-on, you may upload, type, or draw a signature in Gmail. You can eSign your referral form substance misuse and other papers directly in your mailbox with pdfFiller. To preserve signed papers and your personal signatures, create an account.

How can I edit referral form substance misuse on a smartphone?

You can do so easily with pdfFiller’s applications for iOS and Android devices, which can be found at the Apple Store and Google Play Store, respectively. Alternatively, you can get the app on our web page: https://edit-pdf-ios-android.pdffiller.com/. Install the application, log in, and start editing referral form substance misuse right away.

How do I fill out referral form substance misuse on an Android device?

On an Android device, use the pdfFiller mobile app to finish your referral form substance misuse. The program allows you to execute all necessary document management operations, such as adding, editing, and removing text, signing, annotating, and more. You only need a smartphone and an internet connection.

What is referral form substance misuse?

Referral form substance misuse is a document used to refer individuals who are suspected of or have a history of substance misuse to the appropriate authorities for intervention and treatment.

Who is required to file referral form substance misuse?

Healthcare professionals, social workers, and other individuals who come into contact with individuals suspected of substance misuse are required to file referral form substance misuse.

How to fill out referral form substance misuse?

Referral forms for substance misuse are typically filled out by providing information about the individual suspected of substance misuse, their medical history, and any other relevant details.

What is the purpose of referral form substance misuse?

The purpose of referral form substance misuse is to ensure that individuals who are struggling with substance misuse receive the necessary support and interventions to address their issues.

What information must be reported on referral form substance misuse?

Information such as the individual's name, contact information, suspected substances being misused, medical history, and any other relevant details must be reported on the referral form.