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CFS 604 Rev. 8/2013STATE OF ILLINOIS DEPARTMENT OF CHILDREN AND FAMILY SERVICES Medical Evaluation of an Adult in a Foster or Adoptive Homemade of Person Examined: Date of Birth:Form Distribution.

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How to fill out the IL CFS 604 online

The IL CFS 604 is an essential document used to evaluate the medical fitness of adults in foster or adoptive homes. Completing this form accurately online ensures that the Department of Children and Family Services has the necessary information to assess an individual's capability to care for children. This guide provides a detailed, step-by-step approach to filling out the IL CFS 604 online effectively.

Follow the steps to complete the IL CFS 604 online.

  1. Click ‘Get Form’ button to obtain the IL CFS 604 form and open it in the editor.
  2. Begin by entering the 'Name of Person Examined' and 'Date of Birth' at the top of the form. This information is critical for identifying the individual undergoing the medical evaluation.
  3. In the 'Form Distribution' section, indicate who should receive a copy of the form. Specify the licensing worker or supervisor and ensure that options remain marked as 'CONFIDENTIAL' in the licensing file.
  4. Provide details in the 'How long have you been treating this patient?' field. This helps to contextualize the medical history provided in the subsequent sections.
  5. For 'History,' check any relevant health problems listed, such as heart problems, diabetes, or vision issues. Additionally, explain any other chronic conditions that were checked in the space provided.
  6. Address questions regarding progressive conditions or terminal illnesses by marking 'Yes' or 'No' and providing explanations as needed.
  7. List all medications the person is currently on. If there are physical limitations due to these medications, be sure to explain them in the provided area.
  8. Record any illnesses, injuries, operations, or hospitalizations experienced in the last five years, including relevant dates and outcomes.
  9. In the 'Health Habits' section, note any history of substance use and any associated impairments.
  10. Complete the immunizations section by marking if the patient has received the Tdap and flu vaccinations, providing dates and reasons wherever applicable.
  11. In the 'Physical Examination' section, summarize any abnormal physical findings that may affect the individual's ability to care for a child.
  12. Fill out the 'Physical Capabilities' section by assessing whether the individual can perform physical tasks, such as lifting a child or walking certain distances, marking 'Yes' or 'No' as appropriate.
  13. Finally, ensure that the physician's signature, state license number, address, and telephone number are all correctly entered, along with the date to validate the form.
  14. After completing all sections, review the form for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your IL CFS 604 form online today to ensure prompt processing of your application.

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Licensed foster parents receive a monthly board payment ranging from $418 to $511 per child, depending upon the child's age, to cover board, allowance and clothing expenses. Specialized foster parents receive additional payment.

406 East Monroe Street Springfield, Illinois 62701-1498 217-785-2509 • 217-524-3715/TTY ACCREDITED • Council on AccREDITATION FOR CHILDREN AND FAMILY SERVICES → Page 3 I.

Foster families caring for children between the ages of 1 and 4 will see the lowest increase, from $492 to $544 per month; while families caring for children between the ages 9 and 11 will see the largest increase, from $545 to $656 per month.

Foster and adoption licensing requirements You need to attend 39 training hours. If you are married, your spouse needs to attend these training classes as well. Yes, many single people foster and adopt. The process to become licensed to foster and adopt can take anywhere from three to six months to complete.

Provides that all foster families shall automatically qualify for Supplemental Nutrition Assistance Program benefits regardless of income, subject to federal approval if required.

Do I have to pay the child's expenses? No. Traditional foster parents are paid a monthly board payment ranging from $418 to $511 per child for board, clothing and personal allowance. The amount increases based upon the child's age.

The applicant has ever been convicted of felony child abuse or neglect; spousal abuse; a crime against children (including child ography); or a crime involving violence, including rape, sexual assault, or homicide but not including other types of physical assault or battery.

A foster parent's rights include, but are not limited to, the following: (1) The right to be treated with dignity, respect, and consideration as a professional member of the child welfare team. training and appropriate ongoing training to meet mutually assessed needs and improve the foster parent's skills.

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