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In order to process the referral of you client for possible admission into the Family First Children Services, LLC we will require the following documents in order to comply with all the state licensing standards and regulations.
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Application for Admission |
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Birth Certificate |
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Social Security Card |
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Medicaid Card |
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Immunization Record |
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Physical Exam (within past 12 months) |
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Psychological/Psychiatric Evaluation (within past 1 year) |
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Dental Exam (within past 6 months) |
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Current IEP (if applicable) |
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School Records (current and past) |
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Current CANS |
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Medical Records |
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Court Service Plan |
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Discharge Plan from Previous Placement |
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Withdraw form from Last School Attended |
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Social History |
Note: A completed application for admission and a check list of necessary document is required at the time of placement.
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