Accomplish Referral Form

(1 copy only)

Client may submit referral

form to the DFCM office
secretary

Client will be given a

date/schedule of
counseling and
intervention

On the scheduled day,

patient will be asked to be
triaged

Resident coordinators will

enroll, evaluate and assess
the client

Resident coordinators will

accomplish necessary
documents

Client will be advised of

the next follow up visit