Please attach the following documents if applicable when submitting this referral: Psychiatric Evaluation Consent Form, Release of Information, Medication Consent Form, History and Physical, Discharge Summary to include any medications the client is on, evaluation, any physician notes, and Court Order.
Any information provided via attachments does not need to be retyped in form (e.g. current medications, allergies, etc.)
If referral is being completed internally by Youth Center staff, attach PDFs from Bizstream.
If you have any questions, please call Jo Roberts at 734-973-4360.