Get Parent Aide Refrral Form

Filling out the Parent Aide Referral Form accurately is a crucial step in ensuring that families receive the necessary support services. This guide provides a detailed breakdown of each section of the form to help users navigate the process with confidence.

Follow the steps to complete the form successfully.

1. Press the ‘Get Form’ button to access the form and open it in your preferred document editor.
2. Begin by filling in the DCF starting risk level, choosing one of the options: High, Medium, or Low.
3. Provide the case name and DCF case number as required. Indicate the referral date and the name of the referring worker.
4. Input the agency phone number and email address for further communication.
5. Select the reason for referral from the list, ensuring to check all that apply, including options like Physical Abuse, Neglect, and Substance Abuse.
6. Detail the DCF legal status by marking relevant options such as Domestic Violence or Family In Crisis.
7. In the brief family history section, outline any significant background details that are pertinent.
8. Assess the level of risk of child abuse and indicate whether the parent or guardian is employed.
9. List any services currently involved with the family and note any safety issues that the Parent Aide should be aware of.
10. Fill out the details for the primary and secondary caretakers, including their names, relationships to the child, ethnic backgrounds, addresses, daytime, and evening phone numbers.
11. For each child, enter their date of birth, primary language, and gender.
12. Mention other adults living in the home and provide their details if applicable.
13. Answer questions about the family’s history regarding violence and substance abuse, providing explanations where needed.
14. Indicate whether the family is willing to work with a Parent Aide.
15. Lastly, list the goals for the family and specify the desired referral location by checking one of the options provided.
16. Once completed, save the changes, and you can download, print, or share the form as necessary.

Get started on completing the Parent Aide Referral Form online today.