Get Dfps Discharge Form

The Dfps Discharge Form is a crucial document used by residential child care providers to request the removal of a child from their placement. Filling out the form accurately ensures a smooth transition for both the provider and the child involved.

Follow the steps to successfully complete the form online.

1. Click ‘Get Form’ button to access the Dfps Discharge Form and launch it in your preferred online editor.
2. Begin by entering the child's information, including their name, person ID number, and date of birth. Ensure accuracy as this information is critical for identification.
3. Select the type of discharge notice you are issuing by checking the appropriate box. Available options include: 24 Hour Emergency Discharge Notice, 10 Day Discharge Notice, 14 Day Discharge Notice, or 30 Day Discharge Notice.
4. Provide your contractor information, which includes the contractor's name, resource ID number, the name of the person completing the form, their contact phone number, and the date the form is completed.
5. Indicate the contracted service type by selecting one of the options from the list, such as Basic Child Care or Residential Treatment Center, ensuring you choose the type that applies to your situation.
6. Detail the reason for the discharge by selecting all applicable options, including factors such as achieved therapeutic goals or risk of abuse/neglect.
7. Outline the efforts made to prevent placement disruption. This could involve selecting options such as utilizing the YES waiver or contacting the local mental health authority.
8. Provide recommendations for future placements. Include insights about the child’s triggers, required type of placement, level of supervision, or any special services needed.
9. Ensure the form is signed by the signatory authority, including their printed name, title, and date signed to validate the document.
10. After completing the form, review all entries for accuracy. Save your changes, and then you can download, print, or share the Dfps Discharge Form as necessary.

Complete your Dfps Discharge Form online to ensure prompt action in the child's best interest.