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
State of Kansas Department for Children and Families Prevention and Protection Services
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CPS Specialist’s Email: Enter the email address where the CPS Specialist can be contacted
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_4000_Forms/PPS4200_Instr.pdf
State of Kansas PPS 3059C Department for Children and
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Email/Phone
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Alternative Email or Social Media Contact
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If you have any NYTD questions, please email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C.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
Introduction The Summary of Prevention and Protection Services (PPS) Policy and Procedure Manual Changes provides a list of policies, forms, and appendices with explanations for the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2025.7a.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
KFSC is a part of the Kansas Center for Autism Research
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Training (KCART) at the University of
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E R V I C E S Contact us via email (kfsc@kumc.edu) or our phone line (913-897-8471) for more
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/KFSC.pdf
This supplemental summary of change includes substantial changes prompted by Kansas House
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The Summary of Prevention and Protection Services (PPS) Policy and Procedure Manual Changes
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Summary of Changes/Summary of Changes - 2025.7b.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
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