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CA Child/Young Adult (ages 0-20) Full Service Partnership Referral Form - County of Los Angeles 2021-2025 free printable template

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COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH CHILD / YOUNG ADULT (AGES 020) FULL SERVICE PARTNERSHIP REFERRAL FORMREFERRAL INFORMATION This confidential information is provided to you in accord
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How to fill out CA Child/Young Adult (ages 0-20) Full Service

01
Gather all necessary documentation, including proof of income and identification.
02
Fill out the application form provided by the CA Child/Young Adult Full Service.
03
Provide detailed information about the child or young adult, including age, address, and any special needs.
04
Attach any required supporting documents, such as medical records or school reports.
05
Review the application for completeness and accuracy before submitting it.
06
Submit the application either online or in person at the designated office.
07
Wait for confirmation of your application and any follow-up instructions from the agency.

Who needs CA Child/Young Adult (ages 0-20) Full Service?

01
Families with children or young adults aged 0-20 who require assistance with healthcare services.
02
Families with low to moderate income seeking financial support for child-related services.
03
Children and young adults with special needs or disabilities needing specialized care.
04
Guardians or caregivers responsible for a child or young adult who may benefit from these services.
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CA Child/Young Adult Full Service is a program that provides comprehensive services and support for children and young adults aged 0-20, aimed at addressing their physical, emotional, and developmental needs.
Parents or legal guardians of children and young adults aged 0-20 are required to file for CA Child/Young Adult Full Service.
To fill out the CA Child/Young Adult Full Service application, complete the required forms with accurate information about the child or young adult's personal details, health, and family background, then submit it to the appropriate state agency.
The purpose of CA Child/Young Adult Full Service is to ensure that children and young adults receive the necessary services to support their overall well-being, including mental health services, educational resources, and family support.
Information that must be reported includes the child's name, date of birth, family background, health history, and any special needs or circumstances that require assistance.
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