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Division of Child and Family Services Family Program Office: Statewide Policy Manual MTL 0502 Section 502 Subject: 0502A Developmental Assessments and Services Policy Nevada Early Intervention Services
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How to fill out 0502a - capta referral

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To fill out 0502a - capta referral, follow these steps:
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Start by providing your contact information, including your name, address, and phone number.
03
Next, provide details about the child you are referring. Include their name, age, and any relevant identifying information.
04
Describe the concerns or reasons for the referral. Be as specific as possible and provide any relevant details or observations.
05
Provide information about the child's family or caregivers, including their names and contact information if available.
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Include any additional information or documentation that may be relevant to the referral, such as previous reports or incidents.
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Finally, sign and date the referral form to complete the process.
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Ensure that all the required fields are filled out accurately and completely before submitting the referral.

Who needs 0502a - capta referral?

01
0502a - capta referral may be required by individuals who have concerns about the well-being or safety of a child.
02
This form is typically used by professionals working with children, such as teachers, counselors, healthcare providers, social workers, or other mandated reporters.
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It can also be filled out by concerned community members or family members who suspect child abuse or neglect.
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If you believe a child may be at risk or in need of protection, it is important to make a referral through the proper channels to ensure their safety.
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0502a - CAPTA referral is a form used to report child abuse or neglect to the appropriate authorities in compliance with the Child Abuse Prevention and Treatment Act (CAPTA).
Mandated reporters such as teachers, doctors, social workers, and childcare providers are required to file 0502a - CAPTA referrals when they suspect child abuse or neglect.
0502a - CAPTA referral can be filled out by providing detailed information about the child, the alleged abuse or neglect, the family involved, and the reporter's contact information.
The purpose of 0502a - CAPTA referral is to ensure that reported cases of child abuse or neglect are properly investigated and necessary actions are taken to protect the child.
Information such as the child's name, age, address, the nature of the abuse or neglect, any known family members involved, and the reporter's observations must be reported on 0502a - CAPTA referral.
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