Dcfs Check List

Date: ASCEND Counseling Limited

Client's Name

Adams, Hamp Anderson, Deandre Anderson, Joshua Anderson, Quinton Brown, Darius Burton, Jasmine Carpenter, Walnetta Chambers, Daniel Chambers, Demarion Coleman, Devonte Collins, Antoinette Collins, Deville Dixon, Maurecia Elliot, Jimmy Ervin, Stormy Esther, Philip Esther, Robert Ford, Michael Goldman, Deshawn Harris, Jasmine Harris, Trevon Hawkins, Marchetta Henry, Dwayne Henry, Shanika Johnson, Trevon Jung, William Lee, Dominique Mayfield, Marissa McCray, Devonte Orlando, Robert Pope, Gloria Pope, Lora Radtke-Jung, Jacob Romaine, Robert Ruth, Deaquine Ruth, James Ruth, Sylvia Savage-Collins, Katrina Shannon, Rahmall Simmons, Mary Thomas, Anicia Thomas, Nathan Washington, Charmaine Washington, Javonte Washington, Richard Webb, Steven Wuokko, Anthony Wuokko, Joseph

DCFS Check List

Authorization Letter (separate Folder)

Referral and extensions (With in 1year)

Signed release of information Form

Patients Folders Release of information for school Records

Consent for treatment

Child and Family Assessme nt report

Quarterly report MarJuly 2007

Progress Notes

Closing report (if case is closed)