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REFERRAL FORM: Please fax or email referral form to headspace Inala Team 07 3279 8444 or admin@headspaceinala.com.auYoung Person Details Name: Date of Birth: Gender:Aboriginal: Yes/No Torres Strait
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How to fill out headspace professional referral form

01
To fill out the headspace professional referral form, follow these steps:
02
Begin by downloading the referral form from the headspace website.
03
Fill in the contact information section with details such as your name, phone number, and email address.
04
Provide information about the person you are referring, including their name, date of birth, and gender.
05
Specify the reason for referral, such as mental health concerns or substance abuse issues.
06
Include any relevant background information about the person's current circumstances or previous treatments.
07
If applicable, provide details of any known risk or urgency for the referral.
08
Indicate your relationship to the person being referred, whether you are a teacher, family member, or healthcare professional.
09
Sign and date the referral form before submitting it to headspace.

Who needs headspace professional referral form?

01
The headspace professional referral form is needed by individuals or healthcare professionals who want to refer someone for mental health support.
02
This could include teachers, doctors, psychologists, social workers, or family members who believe that an individual could benefit from headspace services.
03
The form helps to provide necessary information about the person being referred and their specific needs, enabling headspace to determine the most appropriate support and services.

What is Headspace Professional Referral - - Stride Mental Health Form?

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The headspace professional referral form is a document used by healthcare providers to officially refer a young person to headspace services for mental health support and treatment.
Healthcare professionals, such as general practitioners, psychologists, or counselors, are required to file the headspace professional referral form when they assess that a young person needs additional support from headspace services.
To fill out the headspace professional referral form, a healthcare provider needs to complete the required sections including patient details, reason for referral, and any pertinent medical history or assessment information.
The purpose of the headspace professional referral form is to facilitate the process of connecting young individuals with the mental health and wellbeing services offered by headspace.
The information that must be reported includes the patient's personal details, contact information, reason for the referral, relevant medical history, and any observations made during the assessment.
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