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Adult Protective Services Referrals Operations Manual Developed by the Department of Elder Affairs, the Department of Children and Families, and the Area Agencies on Aging October 2014 Table of Contents
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How to fill out adult protective services referrals

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How to fill out adult protective services referrals:

01
Gather all relevant information about the individual who is in need of adult protective services. This includes their name, age, address, and any other identifying details.
02
Clearly state the reason for the referral and provide a detailed description of the situation that requires intervention from adult protective services. It is important to include any evidence or documentation that supports your concerns.
03
Include any pertinent background information about the individual, such as their medical history or any known disabilities. This will help the adult protective services team better understand the person's needs.
04
Provide contact information for the person making the referral. This should include your name, phone number, and any other necessary details for communication purposes.
05
Submit the completed referral form to the appropriate adult protective services agency in your area. Be sure to follow any specific instructions or protocols provided by the agency.

Who needs adult protective services referrals:

01
Elderly individuals who are experiencing abuse, neglect, or exploitation.
02
Adults with disabilities who require protection from mistreatment or harm.
03
Individuals who are unable to care for themselves or make decisions on their own due to physical or mental impairments.
It is important to remember that adult protective services referrals are meant to address instances of abuse, neglect, or exploitation. If you suspect that someone meets these criteria, it is crucial to take action and submit a referral to help protect them and ensure their well-being.
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Adult protective services referrals are reports made to agencies or organizations to protect vulnerable adults from abuse, neglect, or exploitation.
Mandated reporters such as healthcare professionals, social workers, and law enforcement officials are required to file adult protective services referrals.
Adult protective services referrals can be filled out by providing detailed information about the alleged victim, the nature of the abuse or neglect, and any witnesses or evidence.
The purpose of adult protective services referrals is to ensure the safety and well-being of vulnerable adults who may be at risk of harm.
Information such as the alleged victim's name, age, address, the nature of the abuse or neglect, and any supporting documentation must be reported on adult protective services referrals.
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