Service Providers

In order to establish a partnership within the local Children's System of Care and Coordinated Family Care these are the forms that are required to be filled out and returned to Salma Harris at sharris@coordinatedfamilycare.org. You are also required to attend a New Prospective Service Provider's meeting. These meetings are held the first Wednesday of every month unless otherwise posted. The meeting information and Zoom links can be found under the News and Events tab then click on Calendar.

Criminal Background Check Options 3-1-2021

NHA caregiver 3 week virtual group flyer

Wrap-Around Training Attendance Acknowledgement Form NOV 2020

Services and Rates SAMPLE NOV 2020

Provider Staff Listing Form Nov 2020

Provider Info Form NOV 2020

Initial Letter Pre Signatures NOV 2020

CFC Universal MOU NOV 2020