Person making referral 2025

1. Click ‘Get Form’ to open the Money Follows the Person Referral Form in the editor.
2. Begin by entering the date in the format mm/dd/yyyy at the top of the form. This is essential for tracking purposes.
3. In the 'Person making referral' section, provide your name and agency details. Ensure that your contact information, including phone number, is accurate for follow-up.
4. Next, fill out the 'Person Referred' section with their name, phone number, date of birth, and age. This information is crucial for identifying the individual being referred.
5. Complete the 'Inpatient Facility' section by providing the facility's address, city, state (ST), ZIP code, and county. Include a contact person and their phone number for coordination.
6. Indicate any anticipated referrals and whether they are currently on a waitlist. Fill in pertinent information as needed to support your referral.

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