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Broome County Central Intake/Thrive Referral Referrals are accepted by phone (6077782700) MondayFriday between 8am4pm. Referrals can also be completed and emailed to DSSCentralIntakeUnit@broomecountyny.gov.
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How to fill out referrals or request services

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How to fill out referrals or request services

01
Obtain the referral form or request services form from the appropriate healthcare provider or organization.
02
Fill out the form completely and accurately, providing all required information such as personal details, reason for referral or service request, and any relevant medical history.
03
Submit the completed form to the designated individual or department, following any specific instructions provided.

Who needs referrals or request services?

01
Individuals who require specialized medical care or services not available through their regular healthcare provider.
02
Patients who have been recommended for further evaluation or treatment by their primary care physician or specialist.
03
Healthcare professionals seeking to refer a patient to a different provider or service for additional support or expertise.

What is Referrals or Request Services Form?

The Referrals or Request Services is a Word document needed to be submitted to the specific address to provide certain information. It has to be filled-out and signed, which is possible manually, or with the help of a certain software like PDFfiller. It allows to complete any PDF or Word document right in the web, customize it according to your needs and put a legally-binding electronic signature. Once after completion, the user can easily send the Referrals or Request Services to the relevant recipient, or multiple individuals via email or fax. The template is printable too thanks to PDFfiller feature and options offered for printing out adjustment. Both in electronic and in hard copy, your form will have a neat and professional look. You can also save it as the template to use later, without creating a new blank form from the beginning. All you need to do is to edit the ready form.

Instructions for the form Referrals or Request Services

When you're ready to begin submitting the Referrals or Request Services fillable template, it's important to make certain that all the required data is prepared. This one is highly important, so far as errors can lead to undesired consequences. It is really unpleasant and time-consuming to resubmit forcedly the entire word template, letting alone the penalties resulted from blown deadlines. To cope with the digits takes more focus. At first glimpse, there is nothing challenging about it. Nevertheless, it's easy to make a typo. Professionals recommend to store all data and get it separately in a document. Once you've got a template, you can just export that information from the document. Anyway, it's up to you how far can you go to provide accurate and solid info. Doublecheck the information in your Referrals or Request Services form carefully when completing all important fields. You are free to use the editing tool in order to correct all mistakes if there remains any.

Referrals or Request Services: frequently asked questions

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Referrals or request services are formal requests made to seek assistance, support, or specific services from an organization or authority.
Individuals, organizations, or entities that need assistance or services are required to file referrals or request services.
To fill out referrals or request services, one needs to complete a designated form provided by the organization, including necessary details such as personal information and the nature of the request.
The purpose of referrals or request services is to ensure that individuals or entities receive the appropriate assistance, resources, or services they need.
Information that must be reported generally includes the requester’s contact details, the type of services required, a description of the issue, and any relevant documentation.
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