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Form CS-0727 "Initial Intake, Placement and Well-Being ...

Form CS-0727 "Initial Intake, Placement and Well-Being ...-2025

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4.8 out of 5

256 votes

The document titled 'Initial Intake, Placement and Well-Being' is a comprehensive form used by the Department of Children's Services (DCS) to collect detailed information about a child or youth entering foster care. It includes sections on personal information, health history, behavioral and mental health assessments, educational background, legal status, and family dynamics. The purpose of the form is to ensure that all relevant medical, psychological, and educational data is available to caregivers and service providers to facilitate appropriate care and support for the child.

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Click ‘Get Form’ to open it in the editor.
Begin by filling out the 'Information and History' section. Enter the child's name, date of birth, and person ID. Ensure accuracy as this information is crucial for identification.
Proceed to the 'Child/Youth Information' section. Here, provide details such as email address, sex, race, and any special needs. Use dropdowns or checkboxes for options like current insurance coverage.
In the 'Current Description of the Child/Youth' section, input physical descriptions including height, weight, and identifying marks. This helps caregivers understand the child better.
Continue through sections on health history and behavioral/mental health history. Be thorough in your responses to ensure comprehensive care planning.
Once all sections are completed, review your entries for accuracy before saving or sharing the document with relevant parties.

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Versions	Form popularity	Fillable & printable
2021	4.8 Satisfied (256 Votes)
2019	4.2 Satisfied (66 Votes)
2018	4.3 Satisfied (35 Votes)

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