If it is in fact an
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to the Family First Grantee (Provider) (shown in the box below by region), Regional Family First Email Inbox (shown in Section 1), and the Region’s FACTS Email Inbox
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311_Instr.pdf
Kansas Social Services Block Grant State Plan for SFY 2026 Page 1 TITLE XX: SOCIAL
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Office of Financial Management, 5th Floor, 555 S. Kansas Ave., Topeka, KS 66603-3444, email
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https://www.dcf.ks.gov/Agency/Documents/SSBG Proposed State Plan SFY2026.pdf
identifiable such as your name, e-mail address, and other non-public information, and
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It is up to you to
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You agree that any such comments and any email we receive becomes our property
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https://www.dcf.ks.gov/Newsroom/Documents/DCFMobileCommunicationsPrivacyPolicy.pdf
Kansas Open Records Act K.S.A. 45-215 et seq. REQUEST FORM
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I hereby certify that I will not
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(A) use any list of names or addresses contained in or derived from the records or information
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https://www.dcf.ks.gov/Records/Documents/KansasOpenRecordsAct_RequestForm.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Family First Prevention Plan and Service Referral
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Family First Regional Email (check one below
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4311.pdf
State of Kansas PPS 3059B Department for Children and Families
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Phone/Email
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Family Waiver Care: 785-296-9551 or email tawaiver@family-waiver-care.com
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059B.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
email and sent to corresponding regional email, including “County.SOUL FAMILY SUBSIDY.Youth
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Permanency Residential Custodian will receive an email from OAR Docusign to complete Direct
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6300.pdf
Your relationship Your relationship with your therapist with your therapist is private and is private and confidential. confidential. 06/22
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Please email to FFT-KS@cornerstonesofcare.org
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/FunctionalFamilyTherapy_FTTForm_Brochure.pdf
KFSC is a part of the Kansas Center for Autism Research
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Training (KCART) at the University of Kansas
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established in 2008, promotes research and training on the
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Contact us via email
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/KFSC.pdf