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Page 1 of 2Shaw Clinic Child and Family Services Mental Health Program (Providing Mental Health Services for ages 618 years) Referral Form for Psychiatric Services×Patient must consent to this referral

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How to fill out mental health referral service

01

Contact your primary care physician or mental health provider to discuss your need for a referral

02

Provide information about your mental health concerns, symptoms, and any previous treatment you have received

03

Complete any necessary paperwork or forms required by the referral service

04

Attend any scheduled appointments or evaluations as recommended by your provider

05

Follow up with your provider to discuss the outcome of the referral and next steps in your treatment plan

Who needs mental health referral service?

01

Individuals experiencing symptoms of mental illness such as depression, anxiety, bipolar disorder, or schizophrenia

02

Individuals struggling with substance abuse or addiction

03

Individuals who have experienced trauma or are dealing with stress, grief, or relationship issues

04

Anyone seeking specialized mental health services or support

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What is mental health referral service?

Mental health referral service is a service that connects individuals who are in need of mental health support with appropriate resources and providers.

Who is required to file mental health referral service?

Healthcare providers, social workers, and mental health professionals are often required to file mental health referral services.

How to fill out mental health referral service?

To fill out a mental health referral service, providers must gather necessary information about the individual, their mental health needs, and any previous treatments or interventions.

What is the purpose of mental health referral service?

The purpose of mental health referral service is to ensure that individuals receive timely and appropriate mental health support to address their needs.

What information must be reported on mental health referral service?

Information such as the individual's demographics, mental health history, current symptoms, and any relevant treatment preferences or limitations must be reported on a mental health referral service.

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