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NHS: Ward: DOB: ACC No:GP: Consultant:Private Bag 3003, Rheingau, Phone: 06 348 1901, Email: icamhas@wdhb.org.nz SECTION ONE Identifying Information: Infant/child/young persons name: ___ NHS: (if
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How to fill out icamhas referral form

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How to fill out icamhas referral form

01
First, gather all necessary information such as client's name, date of birth, contact information, and reason for referral.
02
Next, access the ICAMHAS referral form either electronically or in hard copy.
03
Then, carefully fill out each section of the form providing accurate and detailed information.
04
After completing the form, review it to ensure all information is correct before submitting.
05
Finally, submit the completed referral form to the appropriate ICAMHAS intake office.

Who needs icamhas referral form?

01
Individuals who are seeking mental health and/or addiction services through ICAMHAS need to fill out the referral form.
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The icamhas referral form is a document used to refer individuals to the Integrated Children’s Mental Health and Substance Use System.
Healthcare professionals, social workers, educators, and other professionals who work with children and adolescents are required to file the icamhas referral form.
The icamhas referral form can be filled out online or by completing a paper form with the required information about the individual being referred.
The purpose of the icamhas referral form is to ensure that children and adolescents receive the appropriate mental health and substance use services they need.
Information such as the individual's name, age, demographic information, mental health and substance use history, and reason for referral must be reported on the icamhas referral form.
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