Loading
Get Ataps Referral Form Form 6 - Wentwest
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the ATAPS Referral Form Form 6 - WentWest online
This guide provides comprehensive instructions on how to efficiently complete the ATAPS Referral Form Form 6 - WentWest online. The form is essential for facilitating referrals for mental health services and requires accurate information to ensure proper allocation.
Follow the steps to successfully complete the ATAPS Referral Form.
- Press the ‘Get Form’ button to acquire the ATAPS Referral Form Form 6 and open it in your selected editor.
- Begin by filling in the General Practitioner (GP) details, including the GP's name, telephone number, address, and fax number. This information is crucial for communication between the provider and the GP.
- Next, provide the details of the Allied Health Professional if applicable. If the ATAPS Provider field is empty, WentWest will allocate a suitable provider.
- Enter the patient information, starting with the patient’s name, address, gender, date of birth, and city/postcode. Ensure that all personal details are accurate.
- In the referral information section, select the referral type from the options: General ATAPS, Suicide Prevention, or specify another type, including perinatal depression or children (0-12).
- Indicate the primary language spoken by the patient and their English proficiency level. Options range from 'Very Well' to 'Not at all.' This helps in tailoring communication.
- Complete the education level and indicate any relevant details such as if the patient identifies as Aboriginal or Torres Strait Islander, their income status, and prior mental health care experience.
- Select the appropriate outcome tools used, if any, such as the K10 or DASS21, and provide the health care card number if applicable. Include pre-treatment and post-treatment scores if available.
- Specify which strategies the patient is referred for by ticking all that apply, such as diagnostic assessment, psycho-education, or other interventions.
- Fill in the ICD-10 primary diagnostic categories that apply to the patient's condition, ensuring that all relevant disorders are checked.
- In the receiving psychotropic medication section, indicate any medications the patient is currently on, including any relevant details.
- After completing the form, ensure all details are correct and then prepare to submit it. Fax the completed form to WentWest using the provided confidential fax number.
- Finally, ensure that patient consent is obtained, and have the patient complete the consent section by signing and dating the form. The GP will also need to sign and date the consent.
- Once the form is completely filled out, save changes, download, print, or share the form as needed.
Complete your ATAPS Referral Form Form 6 - WentWest online today to facilitate necessary mental health referrals.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.