Loading
Get Tx Waco Center For Youth Referral Packet 2018-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the TX Waco Center For Youth Referral Packet online
Completing the TX Waco Center For Youth Referral Packet online is an essential step for individuals seeking services. This guide provides clear instructions to ensure that all necessary information is accurately filled out to facilitate the referral process.
Follow the steps to successfully complete the referral packet online.
- Click ‘Get Form’ button to begin the process and access the TX Waco Center For Youth Referral Packet in your preferred online format.
- Start by entering the child's information, including their legal name, date of birth, and social security number in the designated fields.
- Indicate the child's gender and Medicaid number, filling in their height and weight as required.
- Answer whether the child's legal guardian is a resident of Texas and if the Department of Family & Protective Services (DFPS) has custody of the child.
- Provide details on how you heard about the Waco Center for Youth and the person or organization referring the child.
- Fill out the parent/guardian information, including names, relationships to the child, occupations, and contact details.
- List all individuals currently residing in your home, indicating their names, ages, and relationships to the child.
- In the sections regarding psychiatric history and psychosocial history, provide comprehensive information about the child's current psychiatric diagnoses, medications, educational background, and any legal history.
- Detail any substance abuse history and trauma experienced by the child, ensuring to include relevant dates and descriptions.
- Complete the medical and developmental history sections, noting any diagnosed conditions, allergies, past surgeries, or significant injuries.
- After filling all sections, review the information for accuracy, and ensure that all required documentation is attached before submission.
- Finally, save your changes, and choose to download, print, or share the completed referral packet as necessary.
Start completing the TX Waco Center For Youth Referral Packet online today to ensure timely processing of your referral.
Ascension Providence Hospital in Waco, Texas, is a full-service hospital with 24/7 emergency care. We deliver care for life-threatening injuries and illnesses. Our surgical center has robotic and image-guided technology, and our surgeons perform minimally invasive techniques whenever possible to help with recovery.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.