Hampstead Hospital Child and Adolescent Referral Questionairre - New Hampshire

Hampstead Hospital Child and Adolescent Referral Questionairre - New Hampshire

Hampstead Hospital Child and Adolescent Referral Questionairre 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 document used in New Hampshire for referring children and adolescents to the hospital for evaluation and treatment.

Q: Who uses the Hampstead Hospital Child and Adolescent Referral Questionnaire?
A: The questionnaire is used by healthcare professionals, such as doctors, therapists, and counselors, who are referring children and adolescents to Hampstead Hospital.

Q: What is the purpose of the referral questionnaire?
A: The purpose of the questionnaire is to gather important information about the child or adolescent's medical history, behavior, and symptoms in order to determine the most appropriate course of treatment.

Q: What information is typically requested in the questionnaire?
A: The questionnaire may ask for information about the child's medical history, current medications, mental health symptoms, family history, and any previous treatments or evaluations.

Q: Is the questionnaire confidential?
A: Yes, the information provided in the questionnaire is kept confidential in accordance with privacy laws and regulations.

Q: How can I obtain a copy of the Hampstead Hospital Child and Adolescent Referral Questionnaire?
A: You can contact Hampstead Hospital directly to inquire about obtaining a copy of the referral questionnaire.

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Form Details:

  • Released on December 1, 2021;
  • 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 Questionairre - New Hampshire

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