Get Ky Dpp-106a 2007-2025

The KY DPP-106A form is essential for authorizing medical treatment for children under various custody arrangements in Kentucky. Completing this form accurately ensures that medical decisions can be made effectively and legally in the best interest of the child.

Follow the steps to complete the KY DPP-106A form online.

1. Click 'Get Form' button to obtain the form and open it for editing.
2. Indicate the most recent type of custody and the date. Enter this information clearly in the designated fields to establish the legal context for the medical authorization.
3. Identify whether the child is under voluntary commitment, temporary or emergency custody, general commitment, or if parental rights have been terminated. Select the appropriate section and provide the necessary date accordingly.
4. Fill in the child's name and date of birth in the designated fields. This information is crucial for identifying the child covered under the medical authorization.
5. Provide the name, work phone, and home phone of the DCBS workforce involved. Accurate contact details ensure proper communication regarding medical decisions.
6. Fill in the name, work phone, and home phone of the DCBS supervisor, if applicable. This step is essential for maintaining a chain of communication.
7. Review all filled-out sections for accuracy and completeness. Make necessary changes to ensure clear understanding and compliance.
8. Once all information is correctly inputted, save changes, and you can choose to download, print, or share the completed form as needed.

Complete your KY DPP-106A form online today to ensure timely medical treatment authorization.