TRIBAL REFERRALS TO INCLUDE:

1. Intake packet completed to best of client’s ability

2. Completed release of information form for tribe and therapist to coordinate

3. Payment method

OCS REFERRALS TO INCLUDE:

1. Adult Intake packet or Child Intake packet completed to best of client’s ability

2. Completed release of information form for caseworker and therapist to coordinate

3. Collateral information including court report(s) and case plan

4. Purchase authorization

HEALTHCARE PROVIDER REFERRALS TO INCLUDE:

-General reason for referral

-Client contact information