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STROKE PREVENTION CLINIC PATIENT REFERRAL Clinic Located at the Hamilton General Hospital Site 237 Barton St. East 9055212100 ext 44713 Fax completed referral form to: 9055778044Patients Last NameFirst
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Download the hhs-spc-referral-formpdf from the official website or request a copy from the relevant department.
02
Fill in your personal information such as name, address, phone number, and email.
03
Provide details about the referral including the reason for referral, any relevant background information, and desired outcomes.
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Sign and date the form to confirm that the information provided is accurate.
05
Submit the completed form to the appropriate person or department according to the instructions provided.

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01
Individuals who require referral services from the Health and Human Services department.
02
Healthcare providers who need to refer a patient to a specialized program or service.
03
Social service agencies that need to refer clients for specific assistance or support.
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hhs-spc-referral-formpdf is a form used for referring cases to the Department of Health and Human Services' Office of the Special Prosecutor.
Attorneys, government officials, and individuals with knowledge of potential violations must file hhs-spc-referral-formpdf.
hhs-spc-referral-formpdf can be filled out by providing detailed information about the alleged violations and the individuals involved.
The purpose of hhs-spc-referral-formpdf is to report potential violations of healthcare laws and regulations for investigation by the Office of the Special Prosecutor.
hhs-spc-referral-formpdf requires information about the nature of the violation, the individuals involved, and any supporting evidence.
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