Get Universal Referral Form (urf) And Application - Nyc.gov - Nyc

This guide provides step-by-step instructions for users looking to successfully complete the Universal Referral Form (URF) and Application. Clear guidance is offered to ensure a smooth online filing process.

Follow the steps to fill out the Universal Referral Form effectively.

1. Press the ‘Get Form’ button to access the Universal Referral Form, which will open in your document editor.
2. Begin with the date of submission at the top of the form. Fill in the current date as accurately as possible.
3. Complete the 'From:' section with the referring agency or program details. This includes the name of the worker, contact phone number, and email address.
4. In the 'To:' section, ensure you include all necessary documents along with the URF as specified, including the cover sheet and any required consent forms.
5. Move on to the applicant's information section. Fill out the applicant's name, date of birth, and select the preferred level of service requested by checking the appropriate box.
6. Provide detailed demographic information, including the borough of residence and the primary language spoken by the applicant.
7. Include the applicant’s contacts for emergencies in the family contacts section, including name, relationship, and contact information.
8. Complete the clinical and characteristics sections thoroughly, including any prior treatments, current medications, and living situation details.
9. In the referral source section, state where the referral originated from and fill out the referring agency's information accurately.
10. After completing all sections, review the form for accuracy. Ensure all known fields are filled, and indicate if any information is unknown or not applicable.
11. Save your changes, and download a copy if necessary. You can also choose to print or share the completed form as required.

Ensure to complete the filing of the Universal Referral Form online to facilitate efficient processing.