Get Social Needs Referral Form
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How to fill out the Social Needs Referral Form online
Completing the Social Needs Referral Form online can be a straightforward process when guided appropriately. This comprehensive guide will assist you in filling out the form with clarity and confidence, ensuring that all necessary information is provided accurately.
Follow the steps to complete the Social Needs Referral Form online.
- Press the ‘Get Form’ button to obtain the form and open it in the online editor.
- In the 'Referred By' section, enter your name and contact information as the person initiating the referral.
- Fill in the 'Recipient's SS#' field with the social security number of the person being referred. Ensure accuracy to avoid processing delays.
- In the 'Referred To' section, specify the organization or individual who will receive the referral.
- Complete the 'Recipient's Name' field with the full name of the person you are referring.
- Indicate the 'Estimated Date of Confinement' if applicable, ensuring it is correct and allows for planning.
- Enter the 'Recipient's Billing #' if known, as this information may be essential for processing the referral.
- Review the section outlining social risk factors identified by the Health Plan and mark any relevant items such as homelessness, hunger, or domestic violence.
- In the 'Current Housing Problems' section, select any issues that pertain to the recipient, including unemployment or transportation difficulties.
- Final review: Ensure all fields are filled out correctly. Once completed, save your changes, then choose to download, print, or share the form as needed.
Complete your Social Needs Referral Form online today to ensure timely support for individuals in need.
To get a referral to social care in Lancashire, start by completing the Social Needs Referral Form available on the Lancashire County Council website. Your completed form will provide essential information for the social services team. They will then review your submission and reach out to discuss your needs in detail. This process connects you with the right support services available in your area.
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