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Family Intensive Treatment (FIT) Referral Parents Last Name:Parents First Name:MI:Case #: DOB / / SSN: Medicaid #:MaleFemaleCPI/DCM Making Referral Name & Phone Number: Parents Phone Number : County:
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How to fill out family intensive treatment fit

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How to fill out family intensive treatment fit

01
To fill out the Family Intensive Treatment (FIT) form, follow these steps:
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Start by providing your personal information, including your name, contact details, and any previous identification numbers given to you.
03
Specify if you are the legal guardian of the child receiving treatment or if you have the legal authority to make decisions on behalf of the family.
04
Answer the questions about the child's demographics, such as their name, date of birth, gender, and current living situation.
05
Provide information about the child's primary caregiver, including their name, relationship to the child, and contact details.
06
Describe the child's current symptoms, behaviors, or challenges that may indicate the need for intensive treatment.
07
Provide any relevant medical or mental health history of the child, including previous diagnoses, treatments, or medications.
08
Answer the questions about the child's school or educational status, including their current grade level, school name, and any special education services they receive.
09
Indicate if the child is currently involved with any child welfare agencies, court systems, or probationary programs.
10
Describe any existing supports or services the child and family are currently receiving.
11
Conclude by signing and dating the form, indicating that all the information provided is accurate to the best of your knowledge.

Who needs family intensive treatment fit?

01
Family Intensive Treatment (FIT) is designed for families who require intensive support and intervention.
02
Those who may benefit from FIT include:
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- Families with children or adolescents who have significant behavioral or emotional challenges
04
- Families struggling with complex family dynamics, including conflict, communication issues, or trauma
05
- Families at risk of out-of-home placement of the child due to safety concerns or inability to manage behaviors
06
- Families involved with child welfare agencies, court systems, or probationary programs
07
- Families with limited access to community resources or supports
08
- Families that have not found success with traditional individual therapy or lower-intensity interventions
09
It is important to consult with a mental health professional or treatment provider to determine if FIT is appropriate for your family's specific needs.
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Family Intensive Treatment Fit (FIT) is a specialized intensive therapy program for families to address mental health or substance abuse issues.
Families in need of intensive therapy to address mental health or substance abuse issues are required to file for Family Intensive Treatment Fit.
To fill out Family Intensive Treatment Fit, families must work with a licensed therapist or counselor to create a treatment plan and submit it to the appropriate agency or organization.
The purpose of Family Intensive Treatment Fit is to provide specialized therapy and support for families dealing with mental health or substance abuse issues.
Family Intensive Treatment Fit requires information such as the family's treatment goals, progress updates, and any challenges or successes experienced during the program.
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