There are many forms that are required in order to ensure the best possible out come for residents. The following list is provided to ensure all forms are accounted for prior to the juvenile arriving at the facility.
Form or Information
|Consent for Medical Care||Admissions|
|Physician's Release For Physical Training2||Admissions|
|Medical Information and History||Admissions|
|TB and Pregnancy Test3||Admissions|
|Health history Form||Admissions|
|Consent for Over-The-Counter Medication||Admissions|
|Copy of Private Insurance (if applicable)||Parent|
|Copy of Immunization Records||Parent|
|Resident Contact Authorization||Parent|
|Emergency Contact Information||Parent|
|Parent Orientation Acknowledgement||Parent|
|Social Security Card||Parent|
|Home Language Survey||Parent|
|Final Court Orders||Court|
|Placement Order For Robert N. Barnes||Court|
|Orders Affecting Parent/Guardian||Court|
|Modified Conditions of Probation||Court|
|Conditions of Probation||Court|
|Release of Confidential Information||Parent / Guardian|
|Publicity Release||Parent / Guardian|
|Liability Waiver||Parent / Guardian|
|Social History / Probation Officer's Report||Probation Officer|
|Interagency Application (Common Application)||Probation Officer|
|Referral Summary||Probation Officer|
|Withdrawal form from last school attended||School|
|Transcripts and report cards||School|
|Special Education Records and Last ARD (if applicable)||School|
1 Physical Examination Form should not be older than 90 days from the date of admission.
2 Physician's Release for Physical Training should not be older than 30 days from the date of admission.
3 The TB and Pregnancy tests must be administered to the juvenile during the juveniles most recent confinement and the results read prior to the juvenile entering the program.