Assignment: Client Referral Letter

Part 1: Week 10

Referral Form

Client Date of Referral      

Demographics

DOB       Gender       Ethnicity/Race       Contact Information      

Reason for Referral

Circumstances for Referral

Recommendations

Next Steps for Contact

Name of Referee       Referee’s Title       Date       Electronic Signature      

Part II: Week 10

Based on your knowledge gained and developed interviewing skills in this course, in 500–1,000 words:

• Analyze how your quality interviewing and case management skills as a human and social services professional can be used for creating social change. Provide examples.