PFC Provider Manuals

PFC Agency Provider Manual (PDF)

Attachments:

• 01. F-CAP (Word)
• F-CAP (Spanish) for reference (Word)
• F-CAP (Spanish) Family Sections IX & X (Word)
• 02. F-CAP Instructions (PDF)
• 03. Family Counseling/Bereavement Services Tracking Form (Word)
• 04. Agency Application (Word)
• 05. Complaint-Incident Intake Report (Word)
• 06. PFC Family Flyer (PDF)
• PFC Family Flyer (Spanish)
• 07. Medical Eligibility and LOC Determination Form (Word)
• 08. Participant Agreement Form and Information Sheet (Word)
• Agreement Form (Spanish)
• 09. Freedom of Choice Form and Information Sheet (Word)
• Freedom of Choice Form (Spanish)
• 10a. PFC Services Information Sheet - Parent Version (PDF)
• Services Info - Parent (Spanish)
• 10b. PFC Services Information Sheet - Participant Version (PDF)
• Services Info - Participant (Spanish)
• 11a. F-CAP and Circle of Support Information Sheet - Parent Version (PDF)
• F-CAP Info - Parent (Spanish)
• 11b. F-CAP and Circle of Support Information Sheet - Participant Version (PDF)
• F-CAP Info - Parent (Spanish)
• 12. Child Abuse Information (PDF)
• Child Abuse Info (Spanish)
• 13. PFC Referral Form (Word)
• 14. Referring Physician Flyer (PDF)
• 15. Referral Eligibility Checklist (Word)

Additional Attachments:

• 16. F-CAP Initial Summary Sheet
• 16a. Instructions
• 17. F-CAP Review Summary Sheet
• 17a. Instructions

PFC Congregrate Living Health Facility (CLHF) Provider Manual (PDF)

Attachments:

• 01. Agency Application (Word)
• 02. Complaint-Incident Intake Report (Word)
• 03. PFC Family Flyer (PDF)
• PFC Family Flyer (Spanish)
• 04. F-CAP (Word)
• F-CAP (Spanish) for reference (Word)
• F-CAP (Spanish) Family Sections IX & X (Word)
• 05. F-CAP Instructions (PDF)
• 06. PFC Referral Form (Word)
• 07. Referring Physician Flyer (PDF)
• 08. Referral Eligibility Checklist (Word)