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How to use or fill out Adolescent Referral Form - The Phoenix Center with DocHub
- Click ‘Get Form’ to open the Adolescent Referral Form in our editor.
- Begin by entering the 'Date of Referral' at the top of the form. This helps track when the referral was made.
- Fill in the 'Client Name' and 'SS#' fields accurately to ensure proper identification.
- Provide details for 'Parent/Guardian Name' and 'Parent Phone' to facilitate communication.
- Complete the 'Referring Agency' and 'Referring Agent/Phone' sections to identify who is making the referral.
- In the 'Reason for Referral', clearly state why the client is being referred, including any pending charges if applicable.
- Check appropriate boxes for recommended services such as AOD Assessment or Behavioral/Mental Health Assessment.
- Ensure you have all necessary documents ready for your appointment, including photo ID and insurance cards, as listed on the form.
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