Dcfs Review Form

DCFS Review Form

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PATIENT NAME

DCFS I.D. Region

Adams, Hamp Adams, Joshua Barnett, Patti Barnett-Travis, Shawnte Burks, Shyra Butts, Adam Butts, John Carpenter, Waltnetta Coleman, Devonte Collins, Antoinette Collins, DeVille Collins, Dontre Darshay, Garth Dickerson, Danielle Dixon, Maurecia Doxy, Robert Elliott, Jimmy Ervin, Stormy Foster, Brando Garth, Darshay Harris, Jasmine Hawkins, Malcolm Hawkins, Marchetta Hayes, Denzel Henderson,Jovonte Hernandez, Anthony Hernandez, Carlecia Hicks, Trevon Howard, Shirley Humphrey, Alicia Humphrey, Angela Humphrey, Michael Jones, Larry Jones, Starris Newell, Janet Orlando, Robert Prater, Scott Pitts, Geno Radcliffe, Jermaine Ratliff, Lakesha Roby, Derrick Ruth, Deaquin Ruth, James Ruth, Rayshon Ruth, Sylvia Simmons, Mary

U3930102 U3930103 K6019803 W1858506 U1550204 U1550203 U7080104 K6899903 U6760203 U6760202 N4198913 T5099903 K3199702 K7240103 Y2489103 U3240303 K7240104 K2789403 T5099903 U2990202 K1899903 K7080104 P0659304 U5750302 K5960003 K5960004 U2990203 J7009404 F2210005 F2210003 F2210004 U9589802 U7540002 K6049902 U7049903 K5519502 U1700203 J0911990 K4649503 K0889604 U5850006 U5850004 U5850005 U5850003 F5188406

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E

Service Service end begin date date 3/13/2004 3/13/2004 2/23/2004 2/10/2004 2/2/2004 9/10/2002 10/28/2002 3/3/2004 10/1/2002 1/7/2003 1/8/2003 7/7/2003 3/10/2004 2/17/2004 1/7/2003 8/14/2002 9/18/2003 1/7/2003 3/17/2004 3/10/2004 2/10/2003 1/27/2004 2/10/2003 2/17/2003 2/20/2004 4/21/2003 4/1/2003 2/20/2004 1/8/2004 1/22/2004 1/22/2004 1/22/2004 3/3/2004 2/6/2004 2/23/2004 11/1/2002 3/1/2004 2/13/2004 8/28/2003 3/26/2004 3/27/2004 11/1/2002 08/01//02 2/1/2002 8/1/2002 9/1/2002

3/1/2004 3/1/2004 3/1/2004

11/4/2003

DCFS Review Form

48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66

A Sinclair, Roshawn Steward, Alexa Strong, Christopher Suter, Derrick Suter, Erick Synowiec, Donald Synowiec, Glenna Synowiec, Kimberly Thomas, Nathan Trim, Brianna Trim, Devonte Trim, Harisson Trim, Jasmine Trim, Lacresia Tyler, Curtis Ward, Donna Ward, Stephanie Warren, Tyrona Williams, Angela

B K3020003 U0290303 K1870003 K1870002 K3539405 K3539404 K3539403 P2379410 T5099905 T5099904 T5099908 T5099906 T5099907 U2619903 K1450202 K1450203 H0409103 K8590003

C

D 1/16/2004 1/1/2004 11/6/2002 3/5/2004 3/5/2004 3/31/2004 3/31/2004 3/31/2004 11/1/2002 3/23/2004 3/23/2003 3/23/2004 3/23/2004 3/23/2003 2/20/2004 11/1/2002 7/1/2002 12/1/2003 1/9/2004

E

DCFS Review Form

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Reason case closed 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47

Location Office Office Office Home Home Office Office Home Office Home Home Home Office Office Office

Didn't follow through Home Home Office Office Home Home Home Home Office Home Home Home Office Didn' t want to come in home Didn' t want to come in home Didn' t want to come in home Home Home Home Office Home Home Dropped out. Non-compliant office Home Office Home Home Home Home Office

100

DCFS Review Form

F 48 Dropped Out 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66

G home Home Office Home Home Office Office Office Home Office Office Office Office Office Home Office Office Home Home

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