DCS Forms

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Download Number Form Name Effective Date
Microsoft Office document icon Download (416.5 KB) CSO-1275A-S Foster Care/Adoption Assessment Guide (Spanish) 06/01/2015
PDF icon Download (32.55 KB) CSO-1197A Choosing a Healthcare Provider (Eng/Span) 05/01/2015
Microsoft Office document icon Download (93 KB) CSO-1175A Prior Authorization for Therapies 02/01/2015
Microsoft Office document icon Download (41 KB) CSO-1138A Visitation Guidelines for Parents 02/01/2015
Microsoft Office document icon Download (43 KB) CSO-1138A-S Visitation Guidelines for Parents (Spanish) 02/01/2015
Microsoft Office document icon Download (71.5 KB) DCS-1043A Individual's Request for Access to Protected health Information 02/01/2015
PDF icon Download (171.52 KB) CSO-1099A Quick Reference for Prior Authorization 12/01/2014
Microsoft Office document icon Download (48.5 KB) CSO-1042A Birth Parent(s)' Release of Identifying Information 10/01/2014
Microsoft Office document icon Download (50.5 KB) CSO-1042A-S Birth Parent(s)' Release of Identifying Information (Spanish) 10/01/2014
Microsoft Office document icon Download (37 KB) CSO-1064A Independent Living Program - Request for Education Incentive 10/01/2014

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