Agency: Street Address* City, State, Zip* E-Mail Phone Number Fax Number j Foster Adopt
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other terms and conditions of the Agreement and addenda shall remain the same
https://www.dcf.ks.gov/Agency/Operations/NOGA/Documents/Foster Adopt Connect BI Amend 2-3 FY24-25.pdf
Rehabilitation Services Policy Manual SECTION Administrative Issues SECTION NO. 1-1 PART Organizational Structure PUBLISHED 11/24 Page 1 of 1 Section 1 Administrative Issues Part 1
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https://www.dcf.ks.gov/services/RS/Documents/Policy/Sec_1,Sec_2, Sec_3, Sec_4, Sec_5, Sec_6, Sec_7_withoutlinks.pdf
YOUR RESOURCE FOR RESOURCES SE Region Resource Specialist: Karry Reeves
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it be in the office, or via phone and email, I can assist anyone who is in need of community
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/Resource for Resources.pdf
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
The contents of the PPS Policy and Procedure Manual include: A. Policies which define required or prohibited actions
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Policies may contain the following language: 1. Statements
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/PDF Manuals/Policy_and_Procedure_Manual_July2025.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
TITLE IV-B CHILD AND FAMILY SERVICES PLAN ANNUAL PROGRESS AND SERVICES REPORT Submitted To
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U.S. Department of Health and Human Services
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This 2025 Annual Progress and Services Report
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https://www.dcf.ks.gov/services/PPS/Documents/CFSR/Kansas TITLE IV-B 2025 APSR-A.pdf
State of Kansas Department for Children and Families Prevention and Protection Services Referral for QRTP Assessment For Child
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Email Address
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Once this form is complete please email to
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.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