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Community Health Worker Referral Form This form is used to coordinate social services through community health workers for Blue Shield of California Promise health plan members. Fax the completed
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A community health worker referral is a formal process in which community health workers connect individuals to appropriate health services and resources, enhancing access to healthcare and improving health outcomes.
Community health workers who assist individuals in accessing healthcare services and resources are required to file community health worker referrals.
To fill out a community health worker referral, gather necessary information about the individual, identify the services needed, complete the referral form accurately, and submit it to the relevant health service provider.
The purpose of community health worker referral is to facilitate access to healthcare services for individuals who may face barriers, ensuring they receive the care necessary for their health and wellbeing.
Information that must be reported includes the individual's personal details, the services needed, the date of the referral, and contact information for both the referrer and the service provider.
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