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To: ___, Director or designeeThrough: ___, OOH Branch ManagerThrough: ___, OOH Branch FF PSA Specialist child is 10 or younger, proceed:If child is aged 11 12 years: STOP. Through: ___, Through: ___,
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How to fill out referral of young child

01
Obtain a referral form from the appropriate agency or organization.
02
Fill out the child's personal information including name, date of birth, address, and contact information.
03
Provide information about the reason for the referral and any relevant background information.
04
Include any supporting documentation such as medical records or assessments.
05
Sign and date the referral form before submitting it to the respective office or service provider.

Who needs referral of young child?

01
Parents or guardians of young children who require additional support or services.
02
Healthcare professionals who have identified a child in need of specialized care or intervention.
03
Educators and childcare providers who have concerns about a child's development or behavior.

What is Referral of Young Child for Placement in Residential Treatment Exception Request Form?

The Referral of Young Child for Placement in Residential Treatment Exception Request is a fillable form in MS Word extension needed to be submitted to the required address in order to provide specific information. It needs to be completed and signed, which can be done manually, or with the help of a certain solution such as PDFfiller. It lets you fill out any PDF or Word document right in the web, customize it according to your purposes and put a legally-binding electronic signature. Right away after completion, the user can send the Referral of Young Child for Placement in Residential Treatment Exception Request to the appropriate person, or multiple individuals via email or fax. The template is printable too thanks to PDFfiller feature and options offered for printing out adjustment. Both in electronic and in hard copy, your form will have got neat and professional look. It's also possible to save it as the template to use it later, there's no need to create a new file from the beginning. Just customize the ready form.

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Referral of young child is a process of formally notifying appropriate authorities about a child who may be in need of additional support or services.
Mandated reporters such as teachers, healthcare professionals, and social workers are required to file a referral of young child if they suspect any signs of abuse, neglect, or developmental delays.
Referral of young child can be filled out by providing detailed information about the child's situation, including any observed behaviors or concerns, and submitting it to the appropriate agency or organization.
The purpose of referral of young child is to ensure that children receive the necessary support and services to address any potential issues or challenges they may be facing.
Information that must be reported on referral of young child includes the child's age, name, address, any observed behaviors or concerns, and contact information for the person making the referral.
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