OR DCF/Prevention and Protection Services
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Return to: Prevention and Protection Services
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Note: This form is to be used by adult (18+) adoptees, whom adoption finalized
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Your email address
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0340.docx
Return to: Prevention and Protection Services
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Note: This form is to be used for contact with adult (18+) adoptees, whom adoption finalized in Kansas
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Your Email
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You must be named in the
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0335.docx
Encrypted CD, encrypted flash drives, encrypted email (email address), fax (fax Number) or mail
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If you have any questions or concerns, you may contact me at (phone number/email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_10000_Forms/PPS10209.docx
KANSAS DEPARTMENT FOR CHILDREN AND FAMILIES
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THIS Business Associate Agreement (the "Agreement") is made and entered into effective January 24, 2025 by and between the Secretary of the
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https://www.dcf.ks.gov/Agency/Operations/Documents/Business_Associate_Agreement-Template.docx
Department for Children and Families Beth Lange 296-3967
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Agency Agency Contact Contact Phone Number
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Is/Are the proposed rule(s) and regulation(s) mandated by the federal government as
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https://www.dcf.ks.gov/services/PPS/Documents/Economic_Impact_Statement.docx
Department for Children and Families REV. Jan. 25
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Return to: DCF/Prevention and Protection Services
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Note: This form is to be used by adults (18+) who were
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0332.docx
Names of Children in the family
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Please print to indicate your attendance
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Address, email and phone numbers are optional
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This information is used to include you in any future meetings
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Appendices/Appendix_0M.doc
Return to: DCF/Prevention and Protection Services
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Adult Adoptee Requesting Copy of Adoption Record
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Note: This form is to be used by adult (18+) adoptees, whom adoption finalized in
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Email
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_0000_Forms/PPS0330.docx
Email Address
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SECTION IV: Other Individuals able to provide information on child’s functioning (IE: Foster Parents, School
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Once this form is complete please email to: QRTP@healthsrc.org
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https://www.dcf.ks.gov/services/PPS/Documents/PPM_Forms/Section_5000_Forms/PPS5115.docx
402 State Avenue
Kansas City, KS 66101
Phone: 913-279-7227
Email: Kelly.Milner@ks.gov
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901 Westchester Dr.
Salina, KS 67401
Phone: 785-515-6633
Email: Heather.Koffman@ks.gov
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https://www.dcf.ks.gov/services/RS/Pages/RS_Program_Administrators.aspx