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PLEASE NOTE: A separate referral form is required for each child referred. We will be unable to accept referral forms which are not FULLY completed. OFFICE USE Validate referral received: Child's
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The BHS referral form is a document used to refer individuals to Behavioral Health Services for assessment and treatment.
Individuals seeking Behavioral Health Services, healthcare providers, or organizations referring patients to these services are required to file the BHS referral form.
To fill out the BHS referral form, provide accurate personal information of the individual being referred, details about the referring party, and any relevant medical or psychological history.
The purpose of the BHS referral form is to facilitate the identification and provision of necessary mental health services to individuals in need.
The BHS referral form must report personal information, contact details, diagnosis or reason for referral, and relevant medical history.
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