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Intake - Telephone Referral

USER SERVICES Intake - Telephone Referral for AT Device Acquisition Purpose Outside agencies and organizations often make referrals to re-utilization organizations when they encounter users in need. Specific procedures should be designed to capture the information provided in telephone referrals for use in followup with the prospective user. See the attached form for one example of a method of capturing telephone referral information, then combining with additional information gathered during the prospective user's initial visit.

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Title: Intake - Telephone Referral
Module: User Services
Author: Trish Redmon
Audience: Implementer
Sub Title:
Procedure: User referrals by telephone
Organization Source: Form courtesy of Paraquad, St. Louis, Missouri
Last Reviewed: 01-20-2009 1:59 PM