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REFERRAL FORM: Community Supports ServicesDate:1A. CS Services: Member can be referred from PCP, BH provider, or Specialist Recuperative Care (Medical Respite) Sobering Centers Shorter PostHospitalizationHousing

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How to fill out community supports services referral

01

Obtain a referral form from the community supports services provider

02

Fill out the client information accurately

03

Provide details about the client's needs and reasons for seeking community supports services

04

Include any relevant information about the client's medical history or special requirements

05

Submit the completed referral form to the community supports services provider

Who needs community supports services referral?

01

Individuals who require specialized assistance and support in their community

02

People with disabilities or medical conditions that require ongoing care

03

Families in need of additional resources to help care for a loved one

04

Individuals experiencing mental health challenges or substance abuse issues

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What is community supports services referral?

Community supports services referral is a process that connects individuals with needed support services and resources within the community to ensure their well-being.

Who is required to file community supports services referral?

Typically, agencies, social workers, or professionals working with individuals in need of support services are required to file community supports services referrals.

How to fill out community supports services referral?

To fill out a community supports services referral, provide the necessary information about the individual in need, including contact details, specific support needs, and any pertinent background information.

What is the purpose of community supports services referral?

The purpose of community supports services referral is to facilitate access to appropriate services and support systems for individuals, helping them achieve better health and social outcomes.

What information must be reported on community supports services referral?

Required information typically includes the individual's name, contact information, description of needed services, and any relevant medical or personal history.

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