Get Wentwest Mental Health Referral Form

The WentWest Mental Health Referral Form is a crucial document for initiating support for individuals in need of mental health services. This guide will provide you with a clear, step-by-step approach to completing the form online, ensuring that all required information is accurately captured.

Follow the steps to successfully complete the WentWest Mental Health Referral Form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling out the patient information section. Provide the last name, first name, suburb, address, postcode, and phone number. Additionally, indicate the patient's Medicare number and country of birth. Ensure that the spoken language at home is specified, and select the appropriate level of spoken English proficiency.
3. Complete the demographics section by selecting the gender and marital status. Indicate if the individual identifies as Aboriginal and/or Torres Strait Islander. Include details about homelessness status and labour force engagement, specifying employment type if applicable.
4. Provide information about the individual's financial situation, including the Health Care Card number and source of income. Indicate any financial hardship and whether the individual is registered with the National Disability Insurance Scheme (NDIS).
5. In the mental health presentations section, detail the presenting issues and principal diagnosis. Select the level of severity ranging from mild to complex for the identified mental health conditions.
6. List any psychotropic medications the individual is currently taking. Indicate the outcome tool score if applicable, and provide any previous mental or physical health history or treatment details.
7. Identify the priority group of the individual, noting if they are at high risk of suicide. Select any relevant treatments being sought, such as psychiatric services or suicide prevention services, and specify a preferred provider or service if known.
8. Complete the referrer details section, including the name, organization type, profession, and contact information for the person completing the form.
9. Ensure that the consent section is filled out accurately. The patient or guardian must confirm understanding and consent for the information exchange necessary for the provision of services.
10. Review the checklist provided at the end of the form to ensure all required information is complete before finalizing the submission. You can save changes, download the form, print it, or share it as needed.

We encourage you to complete your mental health referral documents online to facilitate timely access to necessary support services.