☐ 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
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
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
I hear other dads talking about
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How do I help my kid deal with
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How much tummy time is too much tummy time
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Where can I find more parent friends
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Is screen time bad for my kid
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Text or email
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/SE_1800-TipCard.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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Is the family receiving TANF, Child Care or Food Assistance benefits through DCF
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/2Gen.pdf
Your Community Health Worker: Bayleigh Weide 620-704-4477 bweide@chcsek.org Bayleigh.weide@usd257.org USD 257 Iola School-Based Community
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Referrals can be made in person, via email to
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https://www.dcf.ks.gov/services/PPS/Documents/SE Resources/SchoolBased_CommunityHealthWorkerCHW.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