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Case Management for Risk Children (MARC) Referral FormInternal Use: Date Referral Received:MARC Target Population Birth to 5 YearsChilds Name: Date of Birth (mm/dd/YYY): Ethnicity: Hispanic or LatinoReferral
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To fill out the policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral, follow these steps:
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Access the policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral form online.
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Provide your personal information such as name, contact information, and any relevant identification numbers.
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Answer the screening questions honestly and accurately to assess your eligibility for the social services program.
05
If applicable, provide any additional documentation or information required to support your application.
06
Review the completed form for any errors or missing information.
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Submit the form either electronically or by mail, following the specified instructions.
08
Wait for a response from the social services division regarding your eligibility and potential referral for services.
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Follow any further instructions or requirements provided by the division to proceed with the referral process.
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Keep a copy of the completed form and any supporting documents for your records.
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If you encounter any issues or have questions during the process, contact the policiesncdhhsgovdivisionalsocial-servicescc4c division for assistance.

Who needs policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral?

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Policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral is needed by individuals or households who require assistance from social services provided by the division. This may include individuals experiencing financial hardship, homelessness, domestic violence, disability, or other circumstances in which they require support and resources. The screening and referral process helps determine the eligibility and appropriate services for those in need.
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The policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral is a process to identify individuals who may need social services and refer them to the appropriate resources.
Individuals working in social services agencies or organizations are required to file policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral.
You can fill out the policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral form online or in person, providing accurate information about the individual's needs and circumstances.
The purpose of policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral is to ensure that individuals in need of social services receive the appropriate support and assistance.
Information such as the individual's name, contact information, social service needs, and any relevant background information must be reported on policiesncdhhsgovdivisionalsocial-servicescc4c screening and referral.
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