Get Dcf-460b-latest.docx

Filling out the DCF-460B-LATEST form can seem daunting, but with clear guidance, you can complete it easily and effectively. This document serves as a permission request for specialty consultation and evaluation, and it is essential for ensuring that all necessary information is accurately provided.

Follow the steps to complete the DCF-460B form with ease.

1. Click the ‘Get Form’ button to access the form and open it in your online document editor.
2. In the first section, complete all fields to be filled by the DCF social worker. This includes entering the child’s last name, first name, date of birth, LINK number, and gender. Additionally, indicate the name of the medical insurance provider, along with the group and policy numbers.
3. Provide the child's legal status by selecting the appropriate option from the list. Input the placement contact's last and first name, along with their address, email, and phone number. Make sure to fill in the city, state, and zip code as well.
4. Enter the names, emails, and phone numbers of the social worker and the supervising social worker. Don’t forget to include the date of the RRG review and the initials of the RRG nurse, as well as selecting the DCF office.
5. Proceed to Section II, where the specialty consultation or treatment request is to be completed by the provider. Fill in the name and email of the specialty clinic or provider, along with their phone number and address.
6. Specify the diagnosis or rationale for treatment as well as the type of service required, such as radiology or lab work.
7. If you are a parent of a child or youth under an OTC, add your full name and provide a signature along with the date. The DCF program supervisor or above must also sign and date the form, indicating their title.
8. Finally, review all the entered details for accuracy. Once completed, you can save your changes, download the document, print it, or share it accordingly.

Start completing your DCF-460B-LATEST form online today for seamless processing.