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Shasta County Mental Health Services Therapeutic Behavioral Services (TBS) Referral Form *Referral MUST include current comprehensive assessment×Utilization Review Fax #: (530) 2255950Date:Utilization
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How to fill out formrapeutic behavioral services referral
How to fill out formrapeutic behavioral services referral
01
Obtain the referral form for therapeutic behavioral services
02
Fill out the client's personal information including name, date of birth, address, and contact information
03
Provide information about the referring provider or agency
04
Include a brief description of the client's presenting issues or concerns
05
Specify the type of services being requested and any relevant medical history or diagnoses
06
Obtain any required signatures and submit the completed form to the appropriate agency or provider
Who needs formrapeutic behavioral services referral?
01
Individuals who are seeking therapeutic behavioral services to address mental health concerns or behavioral issues
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What is formrapeutic behavioral services referral?
Formrapeutic behavioral services referral is a form used to refer individuals to therapeutic behavioral services for support and treatment.
Who is required to file formrapeutic behavioral services referral?
Healthcare providers, social workers, or counselors may be required to file formrapeutic behavioral services referrals for their clients.
How to fill out formrapeutic behavioral services referral?
Formrapeutic behavioral services referrals can be filled out by providing detailed information about the individual's behavioral health needs and the requested services.
What is the purpose of formrapeutic behavioral services referral?
The purpose of formrapeutic behavioral services referral is to ensure individuals receive the appropriate therapeutic support and treatment for their behavioral health needs.
What information must be reported on formrapeutic behavioral services referral?
Information such as the individual's name, contact information, behavioral health issues, and requested services must be reported on formrapeutic behavioral services referrals.
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