Children's Behavioral Health

Forms and Instructions

For Family  and Children

• Child or Adolescent Grievance
  • Form (This guide includes the instructions and the form to file a grievance) (Word* | also in PDF*)
• RCS 28
  • Information & Forms
• 65 HCT (Children’s Home and Community Treatment Services) Referral Form (Updated September 2013)
  • Information & Forms
• Individual Planning Funding
  • Information & Form (This service is not an entitlement and is subject to availability of funds)
• Transition to Adulthood
  • Early Notification Form (this form is used for youth with no case manager)