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Get Department Of Behavioral And Developmental Services ... - Maine.gov - Maine
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How to fill out the Department Of Behavioral And Developmental Services referral form online
Filling out the Department Of Behavioral And Developmental Services referral form is a crucial step in accessing support services for children in need. This guide will help you navigate the form, ensuring that all necessary information is provided accurately and efficiently.
Follow the steps to complete the referral form successfully.
- Press the ‘Get Form’ button to access the referral form and open it in your preferred document viewer.
- Begin by filling in the referral date at the top of the form, ensuring you note the date you are submitting the referral.
- For the high fidelity referral section, provide the name of the referring agency and their office address, along with the direct phone number and extension.
- Fill in the demographics of the child, ensuring to enter their name exactly as it appears on the MaineCare card along with their date of birth, middle initial, last name, social security number, and gender. Include the MaineCare number and race, selecting the appropriate gender option.
- Provide the guardian's custody information, indicating if they are married and whether custody is sole or shared. If applicable, fill in the names and addresses of shared custody guardians.
- Complete the primary diagnosis section, writing in the necessary details for the child's primary diagnosis, with specific attention to Axis I and Axis II categories.
- Finally, review all filled sections to ensure accuracy. You can save changes to your document, download it for your records, print it, or share it as needed.
Complete and submit your referral form online today to ensure timely access to essential services.
The DEP site law in Maine regulates the development of land to ensure that it aligns with environmental standards. This law is designed to minimize negative impacts on the surrounding environment while allowing for responsible land use. Additional details about this law can be found on the Department Of Behavioral And Developmental Services ... - Maine - Maine.
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