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SHELTER HEALTH GR CHC REFERRAL FORM
363 Colborne Street Brantford,
ON N3S 3N2FAX COMPLETED FORM
TO:
5197540757GRCHC provides shelter health, mental health, addictions, and primary care support with
our
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How to fill out shelter health grchc referral
How to fill out shelter health grchc referral
01
Obtain a referral form from the shelter health GRCHC office or website.
02
Fill out the client's personal information, including name, address, contact information, and date of birth.
03
Provide details about the client's current health status and any specific health concerns.
04
Include any relevant medical history or medication information.
05
Submit the completed referral form to the shelter health GRCHC office for review and processing.
Who needs shelter health grchc referral?
01
Individuals experiencing homelessness who require access to healthcare services.
02
Clients of shelters or other housing programs who are in need of medical assistance.
03
Social service providers or case managers working with homeless populations who want to connect their clients with healthcare resources.
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What is shelter health grchc referral?
Shelter health grchc referral is a process through which individuals or organizations can refer clients for health services and support related to their shelter needs.
Who is required to file shelter health grchc referral?
Organizations and individuals providing shelter services or working with homeless populations are typically required to file shelter health grchc referrals.
How to fill out shelter health grchc referral?
To fill out a shelter health grchc referral, one must complete the required forms with accurate client information, details of the services needed, and submit them to the appropriate health care coordinating body.
What is the purpose of shelter health grchc referral?
The purpose of shelter health grchc referral is to connect individuals in shelters with necessary health services, ensuring they receive the care and support they need.
What information must be reported on shelter health grchc referral?
The referral must include the individual's name, contact information, shelter details, the specific health services required, and any pertinent medical history.
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