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This form is used for medication checklist for students attending Wilderness School in Connecticut.
This form is used for the monthly supervision and review of the Medication Administration Program in Connecticut. It helps ensure the safe and proper administration of medication in various settings.
This form is used for authorizing the administration of prescription medication to a pediatric student attending Wilderness School in Connecticut.
This form is used for the discharge summary of individuals receiving congregate care services in Connecticut. It includes important information about the individual's care and progress during their stay in the facility.
This document provides the Notice of Privacy Practices in Arabic for the state of Connecticut. It informs individuals about how their health information is used and disclosed by healthcare providers.
This form is used for applying for the Community Housing Assistance Program (CHAP) contract in the state of Connecticut.
This document is a student contract form specifically for the Wilderness School in Connecticut. It outlines the terms and conditions that students must adhere to during their time at the school.
This form is used for applying for the Community Housing Employment Enrichment (Cheer) Contract in Connecticut.
This Form is used for clothing list and information for participants of the Wilderness School program in Connecticut for either 5 or 7 days.
This form is used for court notification of out-of-state placement of a child in Connecticut's Department of Children and Families (DCF).
This form is used to provide a clothing list and information for participants attending the 20-day Wilderness School in Connecticut.
This form is used for referring individuals to the Community-Based Life Skills Program (CBLs) in Connecticut.
This document is a summary report of a Child and Family Team Meeting in Connecticut that discusses the consideration of removing a child from their current living situation.
This Form is used for identifying and documenting removal participants and concerted efforts in the state of Connecticut.
This form is used for tracking the attendance of meeting participants when considering removing someone from a group or organization in the state of Connecticut.
This form is used for a child and family team meeting agenda related to the consideration of removing a child in the state of Connecticut.
This form is used for filing an annual report for the One on One Mentoring Program in Connecticut.
This form authorizes the release of information for foster care or adoption cases in Connecticut. It is used by the Department of Children and Families (DCF) to conduct background checks and gather necessary information.
This form is used for establishing guidelines and rules for the acceptable use of the LexisNexis system in the state of Connecticut.
This form is used for creating a agenda for supervision sessions in Connecticut.
This form is used for applying for medical assistance in Connecticut. It helps individuals who meet certain income and asset requirements access the healthcare they need.
This form is used for notifying families in Connecticut about the results of their family assessment response.
This form is used for applying to the Wilderness School in Connecticut.
This form is used for making a referral for extended day treatment in Connecticut.
This Form is used for creating a data use agreement in the state of Connecticut. It outlines the terms and conditions for the use and sharing of data with third parties.
This Form is used for providing parental notices related to family with service needs cases in Connecticut.
This Form is used for filing a consumer complaint regarding a prescription error in Connecticut.
This Form is used for filing general complaints by consumers in Connecticut.
This document provides information regarding public charities and solicitors in Connecticut, including regulations and guidelines.
This Form is used for filing an Affirmative Action Complaint in the state of Connecticut. It allows individuals to report any alleged discrimination or unfair treatment based on race, color, religion, sex, or national origin.
This document is for applying to the Health Club Guaranty Fund in Connecticut in the event of a health club closure.
This form is used for authorizing the release of non-health information in Connecticut.
This Form is used for authorization to disseminate non-medical information in Spanish in Connecticut.