Health Services Network

Background

The Health Services Network is the program of Southwestern Virginia Training Center (SWVTC) that helps provide a continuum of care for persons with intellectual disabilities. This program supports people that live with their families and in group homes by providing specialized dental, behavioral, psychiatric and other clinical services.

The SWVTC Health Services Network was to provide services for persons with intellectual disabilities who live in the community areas in southwest Virginia.

Who is Eligible for Services?

Health Services Network services are available to persons with intellectual disabilities in the SWVTC catchment area. This area includes the 17 counties and 4 independent cities in southwest Virginia. Residents of other jurisdictions within the Commonwealth of Virginia and persons with other developmental disabilities are considered on a case-by-case basis.

Eligibility Criteria: (at least one of these situations must exist)

Range of Services

Services available through the SWVTC Health Services Network include:

Based on a consultation model and assessed upon need, technical assistance may be provided in nutrition, psychiatry, speech, recreation, music, nursing and social work. The requests will be considered on a case-by-case basis and provided with respect to availability of SWVTC therapists.

Who Provides the Services?

Members of the clinical staff at SWVTC provide services. These are professionals who have expertise in working with persons with intellectual disabilities. The fall prevention consultation is done in conjunction with Virginia Tech Industrial Engineering Department led by Dr. Thurman Lockhart.

Where are Services Provided?

Some services are provided at SWVTC and some are provided at the client’s home or worksite, depending on the type of service and the individual situation. Some dental services may be offered at satellite clinics.

Referral Process

Referrals are initiated by the case manager from the Community Services Board (CSB) completing a one-page referral form, a Patient Registration form and a Consent to Exchange information form. For some services additional forms may also be requested. Below are the forms that are needed,

Form Name Form File
Outpatient Referral Request - Form #1
Outpatient Referral Request - Form 1 - PDF
Adobe PDF
Outpatient Referral Request - Form 1  - Word
Word Format
Patient Registration Consent - Form #2
Patient Registration Consent - Form 2 - PDF
Adobe PDF
Patient Registration Consent - Form 2 - Word
Word Format
Consent to Exchange Information - Form #3
Consent to Exchange Information - Form 3 - PDF
Adobe PDF
Consent to Exchange Information - Form 3 - Word
Word Format
Medical History Questionnaire - Form #4
Medical History Questionnaire - Form 4 - PDF
Adobe PDF
Medical History Questionnaire - Form 4 - Word
Word Format
Consent for Emergency Medical or Surgical Treatment - Form #5
Consent for Emergency Medical or Surgical Treatment - Form 5 - PDF
Adobe PDF
Consent for Emergency Medical or Surgical Treatment - Form 5 - Word
Word Format
Referral for Psychiatric Consulation - Form #6
Referral for Psychiatric Consulation - Form 6 - PDF
Adobe PDF
Referral for Psychiatric Consulation - Form 6 - Word
Word Format
Privacy Notice - Form #7
Privacy Notice - Form 7 - PDF
Adobe PDF
Word
Word Format
Procedures Information - Form #9
Procedures Information - Form 9 - PDF
Adobe PDF
Procedures Information - Form 9 - Word
Word Format

Referrals

Please submit your referrals to:

Collene Webb
Health Services Network, Director
Southwestern Virginia Training Center
P.O. Box 1328
Hillsville, VA 24343

Phone: 276-728-3121 ext. 336
Fax: 276-728-1103

E-mail: collene.webb@dbhds.virginia.gov

Training

Another function of the Health Services Network is to provide training for community service providers to enhance their skills and increase their willingness to provide services for persons with intellectual disabilities. The training sessions are offered at SWVTC or may be held at areas convenient for community service providers. Training opportunities are also available for internships. Find out more about upcoming training opportunities.

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This File Was Last Modified: Tuesday April 12, 2016