Get Il Cfs 431-a 2011-2025

The IL CFS 431-A is a vital psychotropic medication request form used in Illinois for children in various care settings. This guide provides clear and concise instructions for completing the form online, ensuring users can navigate it comfortably and accurately.

Follow the steps to fill out the IL CFS 431-A online effectively.

1. Press the ‘Get Form’ button to access the IL CFS 431-A form and open it in your editor.
2. Start by filling in the child’s name and DCFS ID number in the designated spaces. Ensure the ID number consists of 8 digits.
3. Select the child’s gender by marking the appropriate box next to ‘Male’ or ‘Female.’ Include the current date.
4. Input the child’s date of birth. If the child is 18 years or older, add the necessary consent information regarding guardianship.
5. Specify the child’s ethnicity within the provided space, and note the placement type by checking the appropriate box.
6. Provide the facility or agency name, contact person’s name, and their phone and fax numbers.
7. Indicate the prescriber’s name, their specialty, and their contact details, including phone and fax.
8. In the clinical information section, list the psychiatric and medical diagnoses. Include any current medications and their dosages. Record the child's current weight and height, and specify when these measurements were last taken.
9. If applicable, mark whether there are no current medications being prescribed. If there are medications, list them alongside their dosages and the times they are given.
10. Document any past trials and reasons for discontinuation of medications. Include monitoring plans with comments.
11. Specify the type of medication request by checking the necessary box. Complete all fields relating to the medication request.
12. In the symptoms/behaviors section, indicate whether the medication addresses acute symptoms or maintenance treatment and list current or remitted symptoms as instructed.
13. Provide additional rationale for requests including polypharmacy details and previous side effects. Ensure all fields are completed as these are required for processing.
14. Complete the form by noting who filled it out and their contact information, including a fax number if necessary.
15. Review all entered information for accuracy before saving changes, downloading, printing, or sharing the completed form.

Complete your IL CFS 431-A form online today for efficient processing.