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Foster Care

• DHS-31 Foster Care Placement Decision Notice
Rev. 04/08

• DHS-57 Foster Care Transitional Medicaid
Rev. 3-09

• DHS-65 Foster Care Structured Decision Making Initial Service Plan
Rev. 07/09

• DHS-66 Updated Service Plan
Rev. 7/09

• DHS-67 Parent Agency Treatment Plan and Service Agreement
Rev. 08/07

• DHS-68 Permanent Ward Service Plan
Rev. 07/09

• DHS-69 Foster Care Action Summary
Rev. 7/08

• DHS-145 Family Assessment of Needs & Strengths
Rev. 02/06

• DHS-147 Family Reunification Assessment
Rev. 11/05

• DHS-148 SDM Case Reading Form PDF icon
Rev. 10/08

• DHS-149 Foster Care Safety Assessment
Rev. 11/05

• DHS-341 Another Planned Permanent Living Arrangement - E
Rev. 07/09

• DHS-343 Another Planned Pemanent Living Arrangement Permanency Goal Approval
Rev. 07/09

• DHS-344 Placement With a Fit and Willing Relative Permanency Goal Approval
Rev. 07/09

• DHS-432 Foster Care Child Assessment of Needs and Strengths Children Ages 14 years and older
Rev. 03/06

• DHS-433 Foster Care Child Assessment of Needs and Strengths Children Ages 0-3 years
Rev. 04/09

• DHS-434 Foster Care Child Assessment of Needs and Strengths Children Ages 4-9 years
Rev. 03/06

• DHS-435 Foster Care Child Assessment of Needs and Strengths Children Ages 10-13 years
Rev. 09/06

• DHS-470-Pilot Assessment for Determination of Care Children in Foster Care
Rev. 10/08

• DHS-588 Initial Relative Safety Screen
Rev. 03/09

• DHS-637 Caseworker Visit Report
Rev. 08/08

• DHS-642 - Another Planned Permanent Living Arrangement Agreement

• DHS-643 - Permanency Goal Review

• DHS-668 Administrative Review Request for Determination of Care Denial
Rev. 10/09

• DHS-669 Local DHS Response to Administrative Review Request for Determination of Care Denial
Rev. 09/09

• DHS-670 Central Office Decision to Administrative Review Request for Determination of Care Denial

• DHS-715 Hearing Notice
Rev. 07/08

• DHS-719 Child Placing Agency Case Report
Rev. 03/09

• DHS-843 Another Planned Permanent Living Arrangement Agreement (Temporary Court Wards)
Rev. 06/09

• DHS-844 Another Planned Permanent Living Arrangement Agreement PCW or MCI Wards
Rev. 07/09

• DHS-845 Permanent Placement with a Fit and Willing Relative Agreement (Permanent Court Wards and MCI Wards)
Rev. 06/09

• DHS-846 - Permanent Placement with a Fit and Willing Relative Agreement

• DHS-988 Relative Search Form for CPS and Foster Care
Rev. 01/09

• DHS-989 Relative Response Form for CPS and Foster Care
Rev. 12/08

• DHS-990 Relative Notification Form Letter for CPS and Foster Care
Rev. 02/09

• DHS-1555-CS, Authorization to Release Confidential Information
Rev. 02/09

Residential Care

• DHS-365 Children's Foster Care Residential Initial Service Plan (4-9 yrs)
Rev. 07/09

• DHS-365-B Children's Foster Care Residential Initial Service Plan (14 yrs and older)
Rev. 07/09

• DHS-365-A Children's Foster Care Residential Initial Service Plan (10-13 yrs)
Rev. 07/09

• DHS-366-A Children's Foster Care Residential Updated Service Plan (10-13 yrs)
Rev. 07/09

• DHS-366-B Children's Foster Care Residential Updated Service Plan (14 yrs and older)
Rev. 07/09

• DHS-366 Children's Foster Care Residential Updated Service Plan (4-9 yrs)
Rev. 07/09

Treatment Foster Care

• DHS-65A Treatment Foster Care Initial Service Plan
Rev. 07/09

• DHS-66A Treatment Foster Care Updated Service Plan
Rev. 07/09

• DHS-67A Treatment Foster Care Parent Agency Treatment Plan
Rev. 01/09

• DHS-68A Treatment Foster Care Permanent Ward Service Plan
Rev. 01/09

• DHS-974 Treatment Foster Care Extension Request
Rev. 12/08

• DHS-975 Treatment Foster Care Exception Request
Rev. 03/09

• DHS-976 Treatment Foster Care Denial of Referral
Rev. 12/08

• DHS-977 Treatment Foster Care Referral Acceptance
Rev. 12/08

• DHS-978 Treatment Foster Care Placement Request
Rev. 02/09

• DHS-979 Treatment Foster Care Discharge Report
Rev. 03/09


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