Get Cspi Summary Form - Sass Cares

The CSPI summary form is an important document used to record various client interactions within the SASS Cares program. This guide will walk you through each section of the form, providing clear instructions to help you complete it accurately and efficiently.

Follow the steps to fill out the CSPI summary form online:

1. Press the ‘Get Form’ button to access the CSPI summary form and open it in your browser.
2. Begin by filling in the SASS Agency name and the date of the CSPI at the top of the form.
3. Identify the contact person and provide their phone number in the specified fields.
4. Review the instructions on the form, then check the appropriate box(es) for the type of service or event being documented.
5. Complete Section 1 by entering the client information, including their name, gender, date of birth, race/ethnicity, and RIN#. If applicable, indicate if the child is a ward of the state and provide the DCFS ID.
6. In Section 2, document the screening details by entering the date and time of the call and screening.
7. If applicable, fill out Section 3 with the deflection information and the date services were initiated.
8. Provide details about crisis or outpatient services in Section 4, including the provider's name, start date, discharge date, and types of services received.
9. If hospitalization occurred, Section 5 must include the hospital's name, city, admission date, and discharge date.
10. For any hospital transfers, complete Section 6 with similar details regarding the transfer.
11. In Section 7, circle the appropriate option related to post-hospitalization services and provide the starting date.
12. Ensure to sign and date the form at the designated area. Include any notes or comments that may help clarify the information provided.
13. Finally, review all filled sections for accuracy and completeness. You may then choose to save changes, download, print, or share the completed CSPI summary form.

Start completing the CSPI summary form online today!