DHS HCF Referral Form for Single Adults NYC
The DHS HCF Referral Form must be completed for patients being referred to the DHS Single Adult Shelter or Street System. It helps determine if the patient is medically appropriate for such facilities. Proper completion ensures timely processing and appropriate care.
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How do I fill this out?
To fill out the HCF-DHS Referral Form, start by confirming whether the patient is a new or current DHS client. Gather all required information such as the client's name, DOB, and CARES ID. Ensure all sections are completed accurately to avoid delays in processing.
How to fill out the DHS HCF Referral Form for Single Adults NYC?
1
Confirm the client's status with the DHS Referral Line.
2
Gather the necessary patient information.
3
Complete the referral form accurately.
4
Email the form to the appropriate address.
5
Await a response regarding the patient's referral status.
Who needs the DHS HCF Referral Form for Single Adults NYC?
1
Social service providers who need to refer clients to DHS shelters.
2
Hospitals seeking appropriate post-discharge placements for patients.
3
Healthcare facilities managing the care of homeless patients.
4
Non-profit organizations working with homeless individuals.
5
Case managers coordinating care for vulnerable populations.
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What are the instructions for submitting this form?
To submit the DHS HCF Referral Form, email the completed document to DHS-HCFreferral@dhs.nyc.gov for men and HCFReferral@helpusa.org for women. Ensure that the form is filled out completely and accurately to prevent delays. Follow the provided guidance for submission and ensure timely responses by the DHS.
What are the important dates for this form in 2024 and 2025?
Important dates for 2024 and 2025 regarding the submission of the DHS HCF Referral Form will be updated as required. Keep an eye on official announcements for any changes or additional deadlines. Regular updates ensure users are well informed.
What is the purpose of this form?
The purpose of the DHS HCF Referral Form is to facilitate the transition of homeless individuals into appropriate shelter facilities. This form is crucial for assessing the medical suitability of patients before entering the DHS shelter system. By standardizing the referral process, it ensures that all necessary evaluations and assessments are completed efficiently.
Tell me about this form and its components and fields line-by-line.
- 1. Client Name: The first and last name of the client.
- 2. DOB: Date of birth of the client.
- 3. CARES ID: Unique identifier for the client.
- 4. Referral Status: Indicates whether the referral needs any follow-up.
- 5. Additional Notes: Space for any additional comments or special instructions.
What happens if I fail to submit this form?
Failure to submit this form may result in delays in obtaining shelter for the patient. An incomplete form might lead to additional follow-ups from the DHS, causing further complications in patient discharge. It's vital to ensure that the form is submitted in full to prevent such issues.
- Incomplete Information: Missing details can delay the referral process.
- Lack of Medical Suitability: Patients may face hurdles in obtaining necessary care.
- Communication Delays: Failure to properly submit may lead to extended wait times.
How do I know when to use this form?
- 1. Hospital Discharges: Used when a patient is discharged from a hospital and requires shelter.
- 2. Transitional Care: Applicable for individuals needing temporary housing after medical treatment.
- 3. Referral Assessment: To assess eligibility for DHS shelters based on medical suitability.
Frequently Asked Question
How do I access the DHS referral form?
You can download the DHS referral form directly from our website.
What information do I need to fill out the form?
Basic information such as the patient's name, DOB, and CARES ID is required.
Can I submit the form electronically?
Yes, completed forms should be emailed to the specified addresses.
What if I forget to include certain information?
Incomplete forms will result in delays; ensure all fields are filled correctly.
Is there a deadline for submitting the form?
There's no strict deadline, but timely submission is encouraged for proper processing.
How can I edit the PDF form?
Upload the PDF to PrintFriendly to use our built-in editing tools.
Can I save my progress while filling out the form?
Currently, you can edit and download, but saving progress isn't available.
How do I share the completed form?
Use our share features after editing to distribute the form via email.
What if the patient is medically inappropriate for a shelter?
Consider alternative housing solutions as indicated in the referral guidelines.
Can I print the form after editing?
Yes, you can print the edited PDF once your modifications are complete.
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