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Care Review

SOC Care Review Referral Form

Care Review Team Referral & Scheduling Process

Any member from the Child and Family Team can make a referral to Care Review, (the parent, the youth, Parent/Family Advocate, Department of Social Services, Department of Juvenile Justice, Community Support worker, Intensive In-home worker, Multi-Systemic Therapy worker/therapist, and group home workers), they are asked to complete and submit an electronic referral form before attending a Care Review meeting. 

The document is 2-3 pages long, and is intended to serve as a cover sheet to the Person-Centered Plan (PCP).

For additional questions or concerns, contact PBH’s System of Care Coordinator via email at soc@pbhsolutions.org .   

The Care Review meeting would adhere to the current High Risk meeting times. 
Cabarrus County will be the 2nd Monday of the month at 10am
Davidson County will be the 4th Monday of the month at 10am
Rowan County will be the 4th Thursday of the month at 12:30pm
Stanly County will be the 1st Tuesday of the month at 10am
Union County will be the 2nd Tuesday of the month at 3:00pm

 

**Please scan files and merge into one PDF or Word document
before uploading.

Please click here to upload the following documents:
Care Review Team Referral Form, Person Centered Plan (PCP), Comprehensive Clinical Assessment (CCA),
Child & Family Team Meeting Summary (most recent).

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**Client File Information** If you have multiple documents please scan them into a single document to upload.

Client File Name:
 
Please fill out the form below. *Required Fields
Today's Date [Click here for the Calendar]
   
* Which Care Review Team would you like to attend?


Case Worker Information  
* First Name * Last Name
* Email * Phone
   
* Agency/Provider Name  
   
If not listed, please enter your Agency /Provider Name here
   
* Agency County
Other Agencies Serving the Consumer:
   
* Last Child & Family Team Meeting: Please enter the date here
 
* Reasons for Referral:













 
 
While anyone can request a CRT it will be essential that such request is communicated with the team immediately. You understand that the information you have provided for the child/client is accurate and will be treated as confidential. You have also uploaded the file with the specific naming convention required.
 
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