Wi,ۉV? FCH' lx6i /; 8 q7# q7Y+ =d 8 '8** FORM ARGUMENTS **** HTTP_COOKIE **/home/homepage/case/place.heitml/home/homepage/case/place.heitml/home/homepage/heitml2.0/mulerider/caselib.heicaselib.hei/home/homepage/heitml2.0/lib/dt2.heidt2.hei/home/homepage/heitml2.0/lib/std.heistd.hei/home/homepage/heitml2.0/lib/dba.heidba.hei/home/homepage/heitml2.0/mulerider/ive.heitmlive.heitml/home/homepage/heitml2.0/lib/counter.heicounter.hei/home/homepage/heitml2.0/lib/dbutil.heidbutil.hei  /Child Placement Resource Information Pagex! x  yy;\JHP\Iy\KHP\I\IHPyy \JHP\JG!en\JHPiHPMondayHPTuesdayHPWednesdayHPThursdayHPFridayHPSaturdayHPSundayHPiHPMonHPTueHPWedHPThuHPFriHPSatHPSunHPiHPMontagHPDienstagHPMittwochHPDonnerstagHPFreitagHPSamstagHPSonntagHPiHPMoHPDiHPMiHPDoHPFrHPSaHPSoHPiHPLunedHPMartedHPMercoledHPGiovedHPVenerdHPSabatoHPDomenicaHPiHPLunHPMarHPMerHPGioHPVenHPSabHPDomHP\J`HP\J``HP\J``HP\J``HP\J`HP\J``HP\J``HP\J``HP iHPJanuaryHPFebruaryHPMarchHPAprilHPMayHPJuneHPJulyHPAugustHPSeptemberHPOctober HPNovember HPDecember HP iHPJanHPFebHPMarHPAprHPMayHPJunHPJulHPAugHPSepHPOct HPNov HPDec HP iHPJanuarHPFebruarHPMrzHPAprilHPMaiHPJuniHPJuliHPAugustHPSeptemberHPOktober HPNovember HPDezember HP i HPJan HPFeb HPMr HPApr HPMai HPJun HPJul HPAug HPSep HPOkt HPNov HPDez HP i HPGennaio HPFebbraio HPMarzo HPAprile HPMaggio HPGiugno HPLuglio HPAgosto HPSettembre HPOttobre HPNovembre HPDicembre HP i HPGen HPFeb HPMar HPApr HPMag HPGiu HPLug HPAgo HPSet HPOtt HPNov HPDic HP\J`HP\J``HP\J``HP \J``HP\J` HP\J`` HP \J`` HP \J`` HP i HP HP HP; HPZ HPx HPڗ HPڵ HP HP HP HP0 HPN HPm HP \J` HP                                                                                                   6 casedb
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child_placmntplace.heitmlxxyn{ agency_codex agency_codex xxeu8x'& Agency Code Number must be given  sampletx x! sampletx x xzj x+ 
Agency Code Organization Name County
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agency_codeAgency Codex agency_name2Agency Namex street_address2Street Addressxx city2Cityx state2Statexx zip2Zip Codex `޻j countycounty2County of Locationxx W county2County of Locationxx  dcfs_super2DCFS County Supervisorxx super_ok#Supervisor Approval Required?YesxR `޻v serviceplace_typeplace_type2Type of Placementx  W service2Type of Placementx  cperson12Contact Person 1xx cp_code1$Contact Person 1's Code Numberxx cp_access1 Contact Person 1 Telephonexx cp1_email2Contact Person 1 E-MailxS cperson22Contact Person 2xx cp_code2$Contact Person 2's Code Numberxx cp_access2 Contact Person 2 Telephonexx cp2_email2Contact Person 2 E-MailxS countiesCounties in Service Areaxx dcfs_contractDCFS ContractYesxR fostr_care_brd_paytFoster Care Board PaymentYesxR total_capctyTotal Capacityxx capcty_availCapacity Availablexx male_capctyMale Capacity Availablex female_capctyFemale Capacity Availablex male_agesMale Agesxx female_agesFemale Agesx types_srvd2Types Servedxx types_not_srvd2Types Not Servedxx app_reqdApplication RequiredYesxxR exam_reqdPhysical Exam RequiredYesxxR psych_reqd"Psychological Exam Required YesxxR preadmit_visitPreadmit Visit RequiredYesxR ed_recordsEducational RecordsYesxR soc_historySocial HistoryYesxxR medicaid_conMedicaid ConditionYesxxR other_reqd2Other Requirementsxx provider_numberProvider Numberx livg_arrangt2Living Arrangementxx trans_case_recTransfer Case RecordsYesxR board_type2Board Typex board_rate2Board Ratex length_stay2Length of Stayxx commentsCommentsx last_update2Last Updatex person_updating2Person Updatingx access-Is your facility wheelchair accessible?YesxR other_lang(Do you speak/use another language?YesxxR `޻j what_langwhat_langIf so, what?xx S what_langIf so, what?xx  `޻ބ pediawhat_timewhat_time#Driving time to Pediatrician:x  c pedia#Driving time to Pediatrician:x  `޻ޜ mental_healthwhat_timewhat_time/Driving time to Mental Health/Counseling:x  { mental_health/Driving time to Mental Health/Counseling:x  `޻ބ phys_therapywhat_time'Driving time to Physical Therapy:x   phys_therapy'Driving time to Physical Therapy:x `޻ޒ occ_sp_therapywhat_time2Driving time to Occupational/Speech Therapy:xx  occ_sp_therapy2Driving time to Occupational/Speech Therapy:xx  `޻ބ recreatnwhat_time.Driving time to Recreational Facilities:xx q recreatn.Driving time to Recreational Facilities:xx 0

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  Computer
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This site developed and served to you by the Department of Behavioral and Social Sciences at Southern Arkansas University in conjunction with the Arkansas Partnerships for Public Child Welfare.
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Computer
Assisted
Solutions
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This site developed and served to you by the Department of Behavioral and Social Sciences at Southern Arkansas University in conjunction with the Arkansas Partnerships for Public Child Welfare.
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