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RPS Counselling Referral Form Gender ? Male ? Female Patient name Date of birth Home phone Mobile Address Suburb Postcode ? Aboriginal Does this patient identify as ? Torres Strait Islander ? No I
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How to fill out the rphs counselling referral form:

01
Begin by carefully reading the instructions provided on the form. Make sure you understand the purpose of the referral form and what information needs to be provided.
02
Start by entering your personal details. This may include your name, age, contact information, and any other relevant details requested on the form.
03
Provide a brief summary of why you are seeking counseling services. It is important to be specific and honest about your needs so that the counselor can address them appropriately.
04
Indicate any preferred days or times for your counseling sessions, if applicable. This can help the counselor schedule appointments that are convenient for both parties.
05
If you have any previous counseling experience, indicate this on the form. This information can provide valuable insights for the counselor and help them tailor their services to your specific needs.
06
Ensure that you have signed and dated the form. This serves as your confirmation that the information provided is accurate to the best of your knowledge.

Who needs the rphs counselling referral form:

01
Students or individuals who are experiencing emotional or psychological difficulties and require professional counseling services.
02
Individuals who have been advised by a healthcare professional or school staff to seek counseling support.
03
Individuals who are looking for guidance, support, or assistance in navigating personal, educational, or career-related challenges.
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The rphs counselling referral form is a document used to refer a student to the counselling services provided by the school.
Teachers, school counselors, or other school staff members may be required to file the rphs counselling referral form for a student in need of counseling services.
To fill out the rphs counselling referral form, the person making the referral must provide the student's name, reason for referral, any relevant background information, and contact information for the student and referral source.
The purpose of the rphs counselling referral form is to initiate the process of connecting a student with the appropriate counseling services to address their needs.
The rphs counselling referral form must include the student's name, reason for referral, relevant background information, and contact information for the student and referral source.
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