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North Carolina Transition to Community Living

Referral Screening Verification Process (RSVP)

 

 
The purpose of completing this referral is to initiate a screening for TCLI. The Transitions to Community Living Initiative (TCLI) provides eligible adults living with serious mental illnesses the opportunity to choose where they live, work, and play in North Carolina. This initiative promotes recovery through providing long-term housing, community-based services, supported employment, and community integration. See the DOJ settlement for further details
* Referrer role
  
  
  
  
  
  
  
* Standard Plan
  
  
  
  
  
* Does the individual being referred have a guardian?
  
  
*
*
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Referrer phone number
          

 

*
*
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* Individual gender
  
  
  
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Individual phone number
          
Location of individual at time of referral
  
  
*
Type Code
  
  
  
  
  
  
  
  
  
  
  
  
  
* Bed Type
  
  
*
* Individual's location type
  
  
  
  
  
  
  
  
  
* Bed Type
  
  
*
*
*
*
Admission Date Required
  
  
  
  
*
*
*

 

* Reason for referral (select all that apply)
Reason for referral (select all that apply)
*
* Is the individual potentially eligible for Medicaid?
  
  
  
  
  

 

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*

 



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