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VENTURA COUNTY BEHAVIORAL HEALTH
Mental Health Services Referral Formulas click email button to submit to: Access@ventura.org
CONSENT PAGE
Referral / Screening Source
Date of Referral:Referring Person:or
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How to fill out mental-health-services-school-referral-form
How to fill out mental-health-services-school-referral-form
01
Obtain a copy of the mental health services school referral form from the school's counseling office.
02
Fill out your personal information, including your name, contact information, and any relevant medical history.
03
Provide details about the reason for seeking mental health services and any specific concerns or symptoms you may have.
04
If applicable, fill out any insurance information or billing details required on the form.
05
Sign and date the form, and ensure that all sections are complete before submitting it to the school counselor or mental health services provider.
Who needs mental-health-services-school-referral-form?
01
Students who are experiencing mental health concerns or symptoms that may require professional intervention.
02
Parents or guardians who are seeking mental health services for their child.
03
School personnel who have identified a student in need of mental health support.
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What is mental-health-services-school-referral-form?
The mental-health-services-school-referral-form is a document used by educational institutions to refer students for mental health services and support.
Who is required to file mental-health-services-school-referral-form?
Typically, school counselors, teachers, or administrative staff are required to file the mental-health-services-school-referral-form when they identify a student in need of mental health support.
How to fill out mental-health-services-school-referral-form?
To fill out the mental-health-services-school-referral-form, provide the student's personal information, describe the concerns or behaviors observed, and indicate any previous interventions or support provided.
What is the purpose of mental-health-services-school-referral-form?
The purpose of the mental-health-services-school-referral-form is to initiate the process for evaluating and providing mental health support to students who may be experiencing psychological or emotional challenges.
What information must be reported on mental-health-services-school-referral-form?
The form typically requires the student's name, age, class, details of the observed behavior or concerns, referral source, and any relevant background information regarding the student's mental health history.
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