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Children's Behavioral Health Services

*For a free viewer or to request a hard copy

Forms and Instructions

   
Child or Adolescent Grievance Form (This guide includes the instructions and the form to file a grievance) Microsoft Word* Adobe PDF*
Section 24: Services for Children with PDD Disorders Microsoft Word* Adobe PDF*
Section 24 Referral Form (Updated July, 2009) Microsoft Word*  
Section 24 Referral Form - Instructions Microsoft Word*  
65 HCT (Children’s Home and Community Treatment Services) Referral Form (Updated July 2009) Microsoft Word*  
State Wide Flex Funding Form (This service is not an entitlement and is subject to availability of funds) Microsoft word*