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This document serves as a referral form for children’s targeted case management services through DHHS, collecting necessary information about the child and the individual requesting services.
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How to fill out dhhs childrens referral

How to fill out DHHS Children’s Referral
01
Gather necessary information about the child, including their name, age, and address.
02
Collect details about the family, such as parents' names and contact information.
03
Identify the reason for the referral, including any concerns related to the child's safety or well-being.
04
Complete all sections of the DHHS Children’s Referral form accurately.
05
Provide any relevant documentation to support the referral, if available.
06
Submit the completed referral form to the appropriate department within DHHS.
Who needs DHHS Children’s Referral?
01
Parents or guardians who have concerns about their child's welfare.
02
Teachers or educators who observe signs of abuse or neglect.
03
Healthcare providers who notice indicators of potential harm to a child.
04
Social workers or community organizations involved with families in need.
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What is DHHS Children’s Referral?
DHHS Children's Referral is a formal process through which concerns about child welfare, safety, and well-being are reported to the Department of Health and Human Services (DHHS) for investigation and support.
Who is required to file DHHS Children’s Referral?
Mandated reporters, which include professionals such as teachers, doctors, and social workers, as well as any individual who suspects child abuse or neglect, are required to file a DHHS Children's Referral.
How to fill out DHHS Children’s Referral?
To fill out a DHHS Children's Referral, individuals should provide detailed information about the child, the situation or concerns, any known facts about the family's circumstances, and identify themselves as the reporter, while ensuring accuracy and clarity in the report.
What is the purpose of DHHS Children’s Referral?
The purpose of DHHS Children's Referral is to ensure the safety and well-being of children by allowing concerned individuals to report potential abuse or neglect to authorities who can investigate and provide necessary interventions.
What information must be reported on DHHS Children’s Referral?
The information required in a DHHS Children's Referral includes the child's name, age, and address, details about the suspected abuse or neglect, information about the family members involved, and any relevant observations or evidence to support the report.
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