Educational Enrollment Information for School Placement Form
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Mental Health Provider Email Address
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Placement Email
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School Building Contact Email
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ESSA School District Point of Contact Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5254.docxView duplicates
The adoption assistance case shall be reviewed on an annual basis
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This review serves as a tool
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City: State: Zip Code: Date Sent: Parent 1 Email address: Parent 2 Email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_6000_Forms/PPS6135.doc
Department for Children and Families REV. Jul
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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: KS.NYTD@dcf.ks.gov
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C.docx
Email
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Regulatory Compliance and Quality Assurance Administrator, Supervises the FCL Admin staff, Racheal Sain
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Supervises Regional Supervisors and Training Specialist
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https://www.dcf.ks.gov/services/PPS/FCL/Documents/Licensing Staff Contact List.docx
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
Department for Children and Families REV. Jan-25
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What I would like people to
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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.docx
Has this family had a previous TDM
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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.docxView duplicates
SECTION I: Identifying Information – Completed by CPS/FC Liaison/IL Coordinator
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Date of Intake Assignment: Click or tap to enter a date
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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.docx
Home > Agency Information > Organizational Health and Development
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at 785-296-4327 or send an email to DCF.LMSSupport@ks.gov.
DCF Online Training Center
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https://www.dcf.ks.gov/Agency/SD
shall be sent to the DCF NYTD email and DCF Independent Living regional email, where the youth will be located or has
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_3000_Forms/PPS3059C_Instr.doc