Hampstead Hospital Child and Adolescent Referral Questionnaire - New Hampshire

Hampstead Hospital Child and Adolescent Referral Questionnaire - New Hampshire

Hampstead Hospital Child and Adolescent Referral Questionnaire is a legal document that was released by the New Hampshire Department of Health and Human Services - a government authority operating within New Hampshire.

FAQ

Q: What is the Hampstead Hospital Child and Adolescent Referral Questionnaire?A: The Hampstead Hospital Child and Adolescent Referral Questionnaire is a form used to gather information about a child or adolescent for potential treatment at Hampstead Hospital in New Hampshire.

Q: Who uses the Hampstead Hospital Child and Adolescent Referral Questionnaire?A: The referral questionnaire is used by healthcare professionals, such as doctors, therapists, or school counselors, who are referring a child or adolescent to Hampstead Hospital for evaluation and treatment.

Q: What information is gathered in the referral questionnaire?A: The questionnaire collects information about the child's personal history, medical history, current symptoms, and previous treatments, as well as information about the referring healthcare professional.

Q: Why is the referral questionnaire important?A: The referral questionnaire helps the staff at Hampstead Hospital assess the child's needs and determine the most appropriate course of treatment. It ensures that the child receives the necessary care based on their individual situation.

Q: How can I get a copy of the Hampstead Hospital Child and Adolescent Referral Questionnaire?A: You can obtain the referral questionnaire from the healthcare professional who is referring the child to Hampstead Hospital. They will provide you with the necessary form to complete.

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Form Details:

  • Released on February 1, 2023;
  • The latest edition currently provided by the New Hampshire Department of Health and Human Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of the form by clicking the link below or browse more documents and templates provided by the New Hampshire Department of Health and Human Services.

Download Hampstead Hospital Child and Adolescent Referral Questionnaire - New Hampshire

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