Get the free ACTT Central Intake Referral Form - The Royal

Check only one please: Ottawa Assertive Community Treatment Teams OR Mental Health Community Support Services ACT Royal Ottawa Mental Health Center 2121 Calling Avenue, Suite 201, Ottawa ON K2A 1H2

How to fill out actt central intake referral

How to Fill Out ACTT Central Intake Referral:

1. Visit the ACTT Central Intake Referral website or contact the ACTT Central Intake team directly.
2. Provide your personal information, such as your name, contact details, and date of birth.
3. Inquire about the specific requirements for filling out the referral form. This may include information about your mental health history, current challenges, and any previous treatment received.
4. Complete all necessary sections of the referral form accurately and clearly. Ensure that you provide detailed information about your current situation, including any support or services you may require.
5. Include any relevant supporting documents that may help assess your needs and eligibility for ACTT services. This could include medical records, referrals from healthcare professionals, or assessments from mental health providers.
6. Review all the information you've provided to ensure accuracy and completeness.
7. Submit the completed referral form to the ACTT Central Intake team through the specified method, such as online submission or mailing it to the appropriate address.
8. Wait for a response from the ACTT Central Intake team. They will review your referral and determine the appropriate next steps based on your needs.

Who Needs ACTT Central Intake Referral?

1. Individuals who are experiencing severe and persistent mental health challenges.
2. Individuals who require specialized mental health support that cannot be adequately met through primary care services.
3. Individuals who may benefit from a coordinated and comprehensive approach to their mental health treatment, including ongoing support, interventions, and case management.

Note: The specific eligibility criteria for ACTT services may vary depending on the region or country in which you reside. It is important to consult the ACTT Central Intake team or the relevant mental health authority for accurate and up-to-date information.

For pdfFiller’s FAQs

What is actt central intake referral?

An actt central intake referral is a form used to refer individuals to the assertive community treatment team for mental health services.

Who is required to file actt central intake referral?

Healthcare providers, case managers, social workers, or any individual involved in the care of the individual with mental health needs may be required to file an actt central intake referral.

How to fill out actt central intake referral?

To fill out an actt central intake referral, you must provide the individual's personal information, current mental health status, treatment history, and reasons for referral.

What is the purpose of actt central intake referral?

The purpose of actt central intake referral is to connect individuals with severe mental health needs to the appropriate community mental health services for ongoing support and treatment.

What information must be reported on actt central intake referral?

Information such as the individual's demographics, mental health history, risk factors, current symptoms, and any relevant treatment plans must be reported on an actt central intake referral.

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