Nc intake form 2026

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The document is a Child Protective Services Structured Intake Form from the North Carolina Department of Health and Human Services. It is designed to collect detailed information regarding child maltreatment cases, including demographics, reporter information, maltreatment details, family strengths, safety factors, health insurance information, and various types of abuse or neglect. The form guides users through the intake process to ensure thorough documentation and assessment of potential child welfare concerns.

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Click ‘Get Form’ to open the nc intake form in the editor.
Begin with Section I: Demographics. Fill in the date, time, and details of the person receiving the report. Ensure accuracy as this information is crucial for tracking.
Proceed to Section II: Reporter Information. Enter your name, relationship to the case, and contact details. Indicate if you wish to waive notification rights.
In Section III: Maltreatment Information, provide detailed information about the children involved, including their names, ages, and relationships to any alleged perpetrators.
Continue through Sections IV to VII by answering questions regarding family strengths, safety factors, health insurance information, and any allegations of abuse or neglect.
Review all sections for completeness before submitting. Use our platform's features to save your progress or share it with colleagues for collaboration.

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What is the NC definition of a caretaker?

- The following definitions apply in this section: (1) Caretaker. - A person who has the responsibility for the care of a disabled or elder adult as a result of family relationship or who has assumed the responsibility for the care of a disabled or elder adult voluntarily or by contract.

What is CPS called in North Carolina?

Child Protective Services | NCDHHS.

What is a caretaker in NC DSS?

A person responsible for a juveniles health and welfare includes a stepparent, foster parent, an adult member of the juveniles household, an adult relative entrusted with the juveniles care, [and] a potential adoptive parent during a visit or trial placement with a juvenile in the custody of a department .

child services intake form

NC DSS intake Policy DSS 1402 instructions Https www2 ncdhhs gov info olm forms DSS DSS 1402 ia pdf dss-5010

How does CPS work in NC?

Each countys CPS receives and screens reports of suspected child abuse and neglect and seeks court action to protect children when necessary. CPS provides in-home, foster care, and adoption services as needed.

What is the difference between a caregiver and a caretaker?

A caregiver focuses on providing care and support to those in need, whether as a family member or as a certified nurse aide working with a medical team in a skilled nursing facility. Caretakers focus on maintenance, upkeep, and daily tasks.

How to fight DSS in North Carolina?

How do I file a complaint against a DSS in NC? Contact Us Toll-free within North Carolina: 1-877-5-NO-SCAM. From outside North Carolina: (919) 716-6000. En Espanol: (919) 716-0058.

How much do family members get paid for caregiving in NC?

Veteran Directed Home Community Based Care in NC The caregiving family member will be paid the hourly rate determined by the VA, typically $8-$21 per hour.

What does being a caretaker mean?

: one that gives physical or emotional care and support. served as caretaker to the younger children. : one that takes care of the house or land of an owner who may be absent.