Erie County Logo
 

Service Coordination & Wraparound Forms

Family & Children First Council

4405 Galloway Road, Sandusky, OH 44870

Phone 419-621-3962 Ext. 141  -  Fax 419-625-3448

 

 

 

 

 

Wraparound logo

One Family

One Focus

One Plan

 

 

Get Adobe Acrobat Reader

 

 

Service Coordination/Wraparound Brochure

 

SERVICE COORDINATION FORMS

 

Erie County Service Coordination Flow Chart

Service Coordination Mechanism (Full version)

Dispute Resolution Process

 

 

WRAPAROUND FORMS

 

Family Team Meeting Invitation

Handouts

Flyer

What is a Family Team Meeting

Family Team Meeting Information

Rights and Responsibilities

Family Team Meeting Agenda

Family Team Meeting Agenda1

Team Notes

Evaluations

Family Evaluation Form - Family Team Meeting

FT Facilitator Evaluation Checklist

Provider Evaluation Form - Family Team Meeting

Attachments

Attachment A - Family Team Meeting Referral Form

Attachment B - Family Team Meeting Participants

Attachment C - Family Team Meeting Contact Summary Notes

Attachment D - Erie County Family Team Meeting Invitation

Attachment E - Monthly Placement/Clinical Committee Review

Attachment F - Funding Request

Attachment G - Client Authorization for Information Sharing

Attachment H - Agreement on Confidentiality & Participant List

Attachment  I  - Help Me Grow Early Intervention Collaborative

Attachment J - Child Strength Assessment Form

Attachment K - Parent Strength Assessment

Attachment M - Family Team Meeting Plan

Attachment N - Safety and Crisis Planning

Family Matrix

Adult Education & Employment

Children's Care and Safety

Children's Education & Development

Community Relations

Family Development Matrix Report - 2006

Family Relations

Finances

Food and Clothing

Health and Safety

How The Matrix Works

Immigration and Resettlement

Shelter

Social and Emotional Health

The Erie County Family Development Matrix Map

Transportation and Mobility

Youth Assets/Social Skills

 

 

 

 

 

Send mail to the Erie County Webmaster  with questions or comments about this web site.
Erie County Web Site Policies          Site Map          Web Accessibility
Last modified: March 21, 2008