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STUDENT EVALUATION
PreCURRICULUMSTUDENTSURVEY
Date:___
SchoolMentalHealth&TheMENTALHEALTH&HIGHSCHOOLCURRICULUMGUIDE
ThissurveyisdesignedtoassesstheknowledgeregardingschoolmentalhealthandtheMentalHealth&High
SchoolCurriculumGuide.
Whatisthenameofyourschool:___.
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How to fill out mental health evaluation referral

How to fill out mental health evaluation referral
01
Obtain the mental health evaluation referral form from the appropriate source.
02
Fill out the client's personal information accurately, including name, date of birth, contact information, and any relevant medical history.
03
Provide detailed information about the reason for the referral, including any specific symptoms or concerns.
04
Include information about any current treatments or medications the client is receiving.
05
Sign and date the form, ensuring all information is complete and legible.
Who needs mental health evaluation referral?
01
Individuals who are experiencing mental health issues such as anxiety, depression, psychosis, or behavioral disorders may need a mental health evaluation referral.
02
Healthcare professionals, social workers, school counselors, or family members may also refer someone for a mental health evaluation if they have concerns about their mental well-being.
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What is mental health evaluation referral?
A mental health evaluation referral is a document or form submitted to refer an individual to a mental health professional for evaluation and assessment.
Who is required to file mental health evaluation referral?
The required person to file the mental health evaluation referral depends on the specific guidelines of the organization or institution. Typically, it may be filed by a healthcare provider, school counselor, employer, or concerned individual.
How to fill out mental health evaluation referral?
To fill out a mental health evaluation referral, one must provide accurate information about the individual being referred, reasons for the referral, any relevant background information, and contact details of the referral source.
What is the purpose of mental health evaluation referral?
The purpose of a mental health evaluation referral is to assess and evaluate an individual's mental health status, identify any potential issues or concerns, and recommend appropriate treatment or intervention.
What information must be reported on mental health evaluation referral?
The information reported on a mental health evaluation referral may include personal details of the individual, reason for referral, any relevant history, current symptoms or concerns, and contact information.
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