Sorry, you need to enable JavaScript to visit this website.


Child and Family Services Agency

DC Agency Top Menu

-A +A
Bookmark and Share

Youth Aftercare Authorization

Wednesday, December 8, 2010

Authorization to Refer and Disclose Information to Healthy Families/Thriving Communities Collaboratives

**Si usted no entiende el idioma Inglés, favor de pedir esta forma en Español**.

This Authorization form is used by Child and Family Services Agency (CFSA) staff to authorize the referral of a client to a Healthy Families Thriving Community Collaborative (Collaborative) for services. It also permits CFSA to provide non-health related information about the client to the Collaborative.