Get Tsp Referral Form - El Paso County, Colorado Home

Filling out the TSP Referral Form is an important step in accessing support services for youth in El Paso County, Colorado. This guide provides clear and detailed instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred document editor.
2. Begin by entering the youth's name in the designated field along with the referral date. Ensure that you have the correct date format.
3. Fill in the youth’s date of birth (DOB), age, sex, and Social Security Number (SS#). These details are essential for identification purposes.
4. Provide the youth's telephone number and complete address, including the zip code. This allows for effective communication.
5. Indicate the school name and grade of the youth. This information is required to assess the educational context of the individual.
6. Specify the type of living arrangement for the youth, such as living with parents, in a foster care placement, or with friends.
7. List the names and telephone numbers of the youth's parent or guardian, along with their relationship to the youth. If there are two guardians, both should be included.
8. Detail the referring agency's name and contact number to verify the source of the referral.
9. Select the applicable ethnicity/race options for the youth. This area includes American Indian, Asian, Black or African American, Caucasian/White, Hispanic/Latino, and Other.
10. Outline any current services involved, such as child protection cases, employment programs, food stamps, Medicaid, therapy services, transition programs, and substance abuse treatment.
11. Identify any special needs of the youth, including adjudicated delinquency, developmental delays, history of substance abuse, homelessness, teen parenting, physical disabilities, domestic violence, or mental illness.
12. Describe the services being requested, such as daily living assistance, self-care support, relationship communication, housing, money management, employment preparation, goal setting, education planning, and community resource awareness.
13. If applicable, attach copies of any assessments, 4D, or IRC documentation that support the referral.
14. After completing all sections, review the form for accuracy and completeness before saving changes, downloading, printing, or sharing as required.

To ensure timely support, complete the TSP Referral Form online today!