REFERRAL HANDOFF CHECKLIST Use this to prepare a clean, low-friction referral conversation without sending unnecessary sensitive details through insecure channels. 1. BASIC REFERRAL CONTEXT [ ] Referral source name and role [ ] Best callback information [ ] Whether the inquiry is urgent, routine, or timing-sensitive [ ] Whether the person is stepping down from a higher level of care 2. FIT QUESTIONS [ ] What is the main need right now: treatment, housing, structure, case management, or another support? [ ] Is the person clinically and behaviorally stable enough for the setting being discussed? [ ] Are there unresolved detox, withdrawal, psychiatric, or safety concerns? 3. PRACTICAL COORDINATION [ ] Current location / service area relevance [ ] Transportation concerns [ ] Expected move-in or transition timeline [ ] Known family or legal coordination issues that affect timing 4. BOUNDARY CHECK [ ] Do not assume housing replaces licensed treatment [ ] Do not send full records through a general website form [ ] Move sensitive record exchange only through an authorized secure process 5. NEXT STEP [ ] Admissions conversation requested [ ] Program/status question needs clarification [ ] Higher-care recommendation may still be needed first [ ] Follow-up owner is clear Notes: This checklist is for operational planning and referral coordination. It is not a medical record, legal advice, or a substitute for clinical judgment.