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This document provides regulations and requirements for the licensing of permanent family residences intended to provide care for handicapped children in a home environment.
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01
Obtain the Sec. 17a-155 form from the appropriate agency or website.
02
Read the instructions carefully to understand the purpose of the form.
03
Fill in your personal details at the top, including your name, address, and contact information.
04
Provide specific information regarding the nature of the request or application as required in the designated sections.
05
Include any supporting documents or evidence that may be necessary.
06
Review the completed form for any errors or omissions.
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Sign and date the form at the bottom.
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Submit the form according to the instructions provided, either in person or by mail.

Who needs Sec. 17a-155?

01
Individuals seeking mental health services and support.
02
Parents or guardians applying for services on behalf of a child.
03
Healthcare providers assisting patients with applications for services.
04
Caregivers looking for resources and support programs.
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Sec. 17a-155 refers to a section of the Connecticut General Statutes that outlines the requirements for reporting incidents and information related to individuals receiving mental health services.
Providers of mental health services and certain professionals who are involved in the care or treatment of individuals receiving mental health services are required to file Sec. 17a-155.
Sec. 17a-155 is filled out by providing specific information about the individual receiving services, the nature of the incident being reported, and any relevant details required by the form.
The purpose of Sec. 17a-155 is to ensure that incidents concerning the safety and wellbeing of individuals receiving mental health services are documented and reported to appropriate authorities.
Information that must be reported on Sec. 17a-155 includes the identity of the individual receiving services, details about the incident, the name of the reporting provider, and any other relevant information as specified by the statute.
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