Texana - Case Review

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Case Review

Case Review

Case review

REFERRED BY:
DATE OF REFERRAL:
EMAIL ADDRESS OF REFERRING PERSON:
CONTACT NUMBER OF REFERRING PERSON:
CLIENT NAME (FIRST 3 LETTERS OF FIRST NAME & LAST NAME):
SERVICE AREA:
- Gulf Coast
- Harris
- Texana
- Tri-County
IS THE CLIENT THEIR OWN GUARDIAN:
- Yes
- No
AGE:
FUNDING SOURCE:
- GR
- TxHml
- HCS
- Private
REASON FOR REFERRAL:
MEDICAL AND/OR PSYCHOLOGICAL DIAGNOSES (DSM-V)
CURRENT SERVICES & PROVIDERS:

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Hub for Effective Local Providers (HELP) Training

Case Review
Contact Information

H.E.L.P. Training

H.E.L.P. is designed to provide education, technical assistance and case review to service providers who work with clients with intellectual and developmental disabilities

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