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ALLEGHENY COUNTY OBH RESIDENTIAL REFERRAL FORM Alleghenycounty

ALLEGHENY COUNTY OBH RESIDENTIAL REFERRAL FORM Alleghenycounty

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What is the Allegheny County OBH Residential Referral Form?

The Allegheny County OBH Residential Referral Form is a document used to initiate the referral process for individuals seeking residential services through the Allegheny County Office of Behavioral Health (OBH). This form is essential for those requiring mental health or substance use treatment services. It collects vital information about the individual's needs, history, and circumstances to ensure appropriate placement and care.

How to Use the Allegheny County OBH Residential Referral Form

Using the Allegheny County OBH Residential Referral Form involves several steps. First, gather all necessary personal information, including identification details and medical history. Next, complete the form accurately, ensuring all sections are filled out to provide a comprehensive overview of the individual's needs. Once completed, the form can be submitted to the appropriate OBH office for processing.

Steps to Complete the Allegheny County OBH Residential Referral Form

Completing the Allegheny County OBH Residential Referral Form requires careful attention to detail. Follow these steps:

  • Collect necessary documents, such as identification and medical records.
  • Fill out personal information, including name, address, and contact details.
  • Provide a detailed account of the individual's mental health or substance use history.
  • Include any additional information that may assist in the referral process.
  • Review the completed form for accuracy before submission.

Legal Use of the Allegheny County OBH Residential Referral Form

The Allegheny County OBH Residential Referral Form serves a legal purpose in the context of securing necessary services for individuals in need. It is crucial that the information provided is truthful and complete, as any discrepancies could affect the individual's eligibility for services. The form must comply with relevant privacy laws, ensuring that personal information is handled securely and confidentially.

Key Elements of the Allegheny County OBH Residential Referral Form

Key elements of the Allegheny County OBH Residential Referral Form include:

  • Personal Information: Name, address, and contact details of the individual.
  • Medical History: Details regarding past and current mental health or substance use issues.
  • Support Needs: Specific requirements for care and support.
  • Emergency Contacts: Names and contact information for individuals who can be reached in case of emergencies.

How to Obtain the Allegheny County OBH Residential Referral Form

The Allegheny County OBH Residential Referral Form can be obtained through the official Allegheny County Office of Behavioral Health website or by visiting their local office. It is advisable to ensure you have the most current version of the form, as updates may occur to reflect changes in procedures or requirements.

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thank you all for joining us my name is Patty Arena and I am the Assistant Director of Education and Outreach for achieve of Family Trust um I would like to introduce Chuck Keenan and Ry Harris who are from alamy County department I'll let him introduce himself and tell you a little bit more about what he does all good morning everyone uh yeah my name is Chuck Keenan I work at the aligan county department Human Serv Services I've been here uh close to 15 years I think um and I'm basically responsible for housing and homelessness initiative at the Human Service Department I work with a lot of Partners including the housing authorities and others to try to assist our consumers Remy go hi everyone I'm Ry Harris uh and also the Aly County Department of Human Services with cha who both in the office of community services our work predominantly focuses on housing uh my work is predominantly in the family space so supporting families that are at risk of homeles

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