review or interim report o Notification of change of address or name ▪ Agency Obligations o Distribute
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https://www.dcf.ks.gov/Agency/Testimony/Documents/2025/1.30 HWR DCF Voter Registration Memo.pdf
Department for Children and Families Kansas Laws and Regulations for Juvenile Crisis Intervention Centers JUNE 2024-A
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following terms and definitions shall apply
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Juvenile Crisis Intervention Center Laws and Regulations June 2024-A.pdf
☐ Change of Child Placing Agency Name
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Agency Name: Licensed Program Type: Facility Address: License Number: I/we request an
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/FCL 652 Amendment for CPA 8.24.pdf
care. trauma-informed care. “We are not here to change the “We are not here to change the whole dynamic of the family. whole dynamic of
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Please use the same address for questions
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/FunctionalFamilyTherapy_FTTForm_Brochure.pdf
KANSAS LAWS AND REGULATIONS FOR LICENSING RESIDENTIAL CENTERS AND GROUP BOARDING HOMES FOR CHILDREN AND YOUTH
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permit, and each licensee that wants the department to display the address
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Regulations GBH and Residential Centers 8.24.pdf
Services FC/AD NOTIFICATION OF MOVE/PLACEMENT/CHANGE PPS 5120 REV. Jan -2025 Page 1 of 3
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Previous Placement Name and Address
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Change of status for sibling(s) remaining in the home
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5120.pdf
here: A. Personal lnformation: Last Name Address: First Name City: Apt #: State: zip
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To begin fhe sfeps to change the path of your life, KFAN offers the I Dimenslons of Wellness
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/KFAN.pdf
Out of Home Change of Venue
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CWCMP Notification to DCF of a Move, Placement or Change
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appendices include revisions affecting the meaning or involves a change to practice
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of PPS Policy and Procedure Manual Changes January 2025.pdfView duplicates
Your Community Health Worker: Bayleigh Weide 620-704-4477 bweide@chcsek.org
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O r g o t o
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resources and CHC/SEK care systems, and able to address barriers to improved health outcomes
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/SchoolBased_CommunityHealthWorkerCHW.pdf
Email Address
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What has prompted this referral to 2Gen
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If Other was selected, please explain
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Groups, Strengthening Families Program (SFP), Parenting Through Change (PTC), Parent
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/2Gen.pdf