Can I read Capstone External Referral Form on EtoBox?

Capstone External Referral Form by justin.wang is a document available to read on EtoBox.

What is Capstone External Referral Form about?

This document appears to be a referral form for a transitional recovery service program. It requests information about the referred consumer, including whether they consented to the referral, if they understand and are willing to participate in the program, and if their clinical information can be shared. It also asks questions to confirm the consumer meets requirements for the program around things like risk, substance use, case management, residence location, and transportation.

Author

justin.wang

Language

EN