Get Arkansas Dhs Cfs 352

The Arkansas Dhs Cfs 352 form is essential for documenting various health services provided to children in the foster care system. This guide will walk you through the process of completing this form accurately and effectively online.

Follow the steps to complete the Arkansas Dhs Cfs 352 online.

1. Click ‘Get Form’ button to access the CFS-352 form and open it in your online editor.
2. Begin by entering the name of the child in the designated field at the top of the form. Ensure that the name is spelled correctly as this is essential for accurate record-keeping.
3. Fill in the date of birth of the child. This information helps in confirming the identity of the child and tailoring services appropriately.
4. Enter the DCFS case number. This number is assigned to the child’s case and is crucial for tracking the child's history and needs.
5. Document the date of the exam, which is critical for ensuring timely follow-ups and continuity of care.
6. Specify the type of visit by selecting one of the options provided, including medical, dental, vision, hearing, hospital, or psychological. Make sure to check the appropriate box.
7. In the 'Problem/DX' section, provide details about the reason for the visit. If you are filling this out as a provider, please write the diagnosis here.
8. Complete the 'Treatment' section by listing all medications given and treatments ordered. This is important for ongoing care and management.
9. If applicable, indicate the dental tooth surface in the provided area.
10. In the 'Follow-up needed' section, specify the date for any required follow-up and include referrals if necessary.
11. Identify who accompanied the child by selecting from the provided options, such as foster care provider, family service worker, or other (please specify).
12. Gather the provider's signature and title in the designated area to validate the form.
13. Record the provider's address and ensure it includes an office stamp or printed information if applicable.
14. Finally, print the provider's name and phone number to ensure easy contact information is available.
15. Once all fields are filled out, save your changes, download the form, print it, or share it as necessary.

Complete your documents online with ease and efficiency today!