Get Authorization For Health Care - Resource / Non ... - Forms In

This guide provides clear steps for filling out the Authorization for Health Care - Resource / Non-Resource Family form online. By following these instructions, you can ensure that the form is completed correctly and submitted efficiently.

Follow the steps to fill out the form seamlessly.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editing interface.
2. Begin by entering the name of the resource parent(s) or residential provider in the specified field.
3. Next, fill in the name of the child for whom health care authorization is being granted.
4. Input the MEDICAID or insurance policy number associated with the child in the designated area.
5. Provide the name of the court that has jurisdiction over the child in the appropriate field.
6. Specify the local Department of Child Services or probation office supervising the child.
7. Lastly, sign the document either by the Local Office Director, Designee, or Probation Officer and date the form using the designated space.
8. Once you have completed the form, ensure all fields are accurate before saving the changes, downloading, printing, or sharing the document as necessary.

Start filling out your documents online today for efficient completion!