FOSTER PARENT FORMS

 CRIB SAFETY INSPECTION

GRIEVANCE

 INCIDENT REPORT

PFFH Respite Agreement (cty) 2007.

TRAINING INPUT

Youth Satisfaction Survey

EXPENSE REPORT

PAYMENT VOUCHER

 RESPITE FORM

Procedure - CLAIMING RESPITE

Procedure - FOSTER PARENT REIMBURSEMENT

Procedure - SYP GRIEVANCE

CHILD INTAKE PACKET FORMS

00 NEW INTAKE CHECKLIST

01 PFFH INFORMATION REQUEST

04 FACE SHEET INTAKE & DISCHARGE

05 PLACEMENT AGREEMENT REGULAR RATE SCHEDULE 2008

06 DOC SCHEDULE FORM

07 MEDICAL CARE, RELEASE OF MEDICAL RECORDS AND PSYCHOLOGICAL TESTING

08 PICTURES & TOURS AND MONEY MANAGEMENT

09 PARENT'S RIGHTS

10 3B - PRIVACY RIGHTS STATEMENT

11a HIPAA PRIVACY RIGHTS

11b HIPAA SIGNATURE PAGE

12 CLOTHING AGREEMENT

13 AUTHORIZATION TO ACKNOWLEDGE PRESENCE

14 CHILDREN'S RIGHTS POLICY

15 PRELIMINARY PLACEMENT ASSESSMENT

16 Health Questionnaire

17 PHYSICAL FORM FOR GIRLS

18 PHYSICAL FORM FOR BOYS

19 DENTAL EXAM

20a POSIT Questionnaire

20b POSIT Scoring Sheet

20c POSIT Template

FOSTER PARENT LICENSING FORMS

00 New Foster Parent Checklist

01 DHS Initial Licensing Forms

12 EMERGENCY PROCEDURES AND NUMBERS

14 NON-DISCLOSURE AGREEMENT

15 3B - PRIVACY RIGHTS STATEMENT

16 AGREEMENT BETWEEN FOSTER PARENTS AND PLACING AGENCY

20 FIRE INSPECTION REQUEST

23a Home Safety Checklist

23b Home Safety Checklist Question 10

24 INITIAL FOSTER PARENT EVALUATION

27 CHILDREN REFERRED TO PFFH

28a HIPAA PRIVACY RIGHTS

28b HIPAA SIGNATURE PAGE - FOSTER PARENT

29 Personal Reference

31 REPORTING ABUSE STATEMENT FOR COA

33 Orientation Training checklist

34 TRAINING INPUT FORM

36a STATEMENT OF INTENDED USE - use this to type on

36b STATEMENT OF INTENDED USE - use this to hand write on

37 Data Collection Sheet

38 Grievance Procedure

39 Drug and Alcohol Policy

40 Discipline Policy and Procedures