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Holy Family Institute
Family Focused Referral Sheet
Phone: 4127669020 x1222
Fax to: 4127660476
Email to: ffsbreferrals@hfipgh.orgDate: ___
Referral Source Name: ___ Agency: ___
Email Address: ___
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How to fill out in-home family services

How to fill out in-home family services
01
Contact your local department of social services to inquire about in-home family services.
02
Complete an intake assessment to determine eligibility for the program.
03
Meet with a caseworker to discuss goals and develop a plan for services.
04
Participate in regular home visits and meetings with the caseworker to monitor progress.
05
Complete necessary paperwork and documentation to maintain services.
Who needs in-home family services?
01
Families who are struggling with parenting issues or familial conflicts.
02
Families with children who have behavioral or emotional challenges.
03
Families with children who have special needs or disabilities.
04
Families at risk of child abuse or neglect.
05
Families in need of support and resources to maintain stability and improve overall well-being.
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What is in-home family services?
In-home family services are support programs designed to assist families in managing challenges and enhancing family functioning while allowing them to remain together in their own home environment.
Who is required to file in-home family services?
Typically, families or caregivers who are receiving in-home family services or requesting support due to specific needs or circumstances are required to file.
How to fill out in-home family services?
To fill out in-home family services, individuals or families need to complete an application form that usually includes personal information, details of the family situation, and the type of services required.
What is the purpose of in-home family services?
The purpose of in-home family services is to provide families with assistance and resources to improve their home environment, address issues such as mental health, parenting challenges, and to promote overall family well-being.
What information must be reported on in-home family services?
The information that must be reported typically includes family demographics, reasons for requesting services, specific needs, and any relevant prior service history or assessments.
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