Placement Authority. County will have sole and exclusive right to screen and approve or disapprove clients prior to placement in Contractor’s facility. Approval must be obtained in writing by client’s case manager or designee prior to placement under this Contract.
Placement Authority. As the parent(s)/legal guardian(s) of , I/we, have the legal authority to plan for him/her and voluntarily place him/her on the day of , 20 in a state approved home or a licensed facility for a period not to exceed . RIGHTS AND RESPONSIBILITIES: PARENT(S)/GUARDIAN(S) 1. I/we retain legal custody of my/our child.
Placement Authority. As the parent(s)/legal guardian(s) of __________________, I/we, have the legal authority to plan for him/her and voluntarily place him/her on or after the ________ day of _________, 20____ in __________________ (name of state approved home or licensed facility) not to exceed past _____/_____/_______(FAPT end date). RIGHTS AND RESPONSIBILITIES: PARENT(S)/GUARDIAN(S) I/we retain legal custody of my/our child. I/we agree that it is my/our goal for my/our child to return home and we agree to accept him/her back home as soon as the FAPT deems it appropriate. I will maintain my child’s private health insurance and provide necessary information and take necessary steps for it to be billed prior to CSA and Medicaid for treatments and services associated with this placement; I/we will to the best of my/our ability: Actively and consistently participate in all aspects of assessment, planning and implementation of services throughout the time this agreement is in effect, Attend and participate in Family Resource Meetings, Family Partnership Meetings, Youth and Family Team Meetings, and FAPT meetings for the purpose of planning, reviewing and monitoring the service plan in relation to my/our child’s and our family’s needs, Attend and participate in family therapy sessions, parent training, and/or other services for family members as described in the Individual Family Service Plan (IFSP), Family Resource Meetings, Family Partnership Meetings, Youth and Family Team Meetings. Actively participate in scheduled and approved visitation with my/our child, which at a minimum would be monthly for out-of-community placements but could be more frequently if specified in the treatment plan, and Provide all necessary information and documentation to the FAPT and Agency for services and placement of my/our child. I/we will provide the treatment facility with the following: Written consent for routine medical treatment and care, including emergency treatment. Any proposed treatment or services presenting significant risk for my/our child, including surgery or treatment with psychoactive medications, will require my/our specific informed consent. All necessary emergency phone numbers to contact me/us. I/we agree to inform the Agency in the current locality of any plan to relocate my/our physical residence outside of this jurisdiction. RIGHTS AND RESPONSIBILITIES:
Placement Authority. Eligibility criteria determination and authorization of this service will be at the sole discretion of the Purchaser. The Purchaser will provide a copy of the court order authorizing placement.
