UNIVERSAL PACKET SERVICE ENTRY AUTHORIZATIONS Client Name
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_ Initial when applicable Authorization Explanation Exceptions of By signing below and initialing, the client
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E-mail Address
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/2025 kdads-universal-packet-fillable-form 3.5.2025 final accessible.pdf
Email
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Department for Children and Families Department for Children and Families
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Team Decision Making is a structured meeting
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called to make a decision about where your child
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix 0Q TDM Brochure English.pdf
Kansas Department for Children and Families
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Table of Contents Introduction 2 Chapter 1: Family Foster Home Descriptions 3 Chapter 2: All Family Foster Homes 9 Chapter 3: Intensive
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https://www.dcf.ks.gov/services/PPS/Documents/FY2025 DataReports/Misc/PlacementStandards.pdf
the use of the TDM Request Form, in addition to communication via phone, in-person or email
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hours that a TDM is needed, the CPS Specialist shall notify the TDM Scheduler via email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0D.pdf
Return to: Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 (785) 296-4653 Authorization To Release Information Form PPS 0350 REV
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0350.pdf
Work-Based Learning Experiences for Pre-Employment Transition Services (Pre-ETS) Students
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contact information including an appropriate email address. • The student learns how to find
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https://www.dcf.ks.gov/services/RS/Documents/service_descriptions/Service Descriptions 2024/RS Service Description_Providers_PWBL_1012024.pdf
NOTICE TO PARENT: This is an important legal document and by signing it you are permanently giving up all custody and other parental rights to the child named herein
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_5J.pdf
☐ African ☐ American Indian/Alaska Native ☐ Asian ☐ Black/African American
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Caregiver Email
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Case Manager Email
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Primary Physician Email
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/BI_Program_Referral.pdf
Appendix 0E Department for Children and
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The TDM Scheduler will invite professionals if email address is available
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Phone number/email address
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For scheduling, email the completed form to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0E.pdf
Return to: DCF.KSADPSearch@ks.gov OR DCF/Prevention and Protection Services 555 S. Kansas Ave 4 th Floor Topeka, KS 66603 PPS 0330 REV. Jan-25
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Note: This form is to be used by
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0330.pdf