Behavioral Health Services Application

CHILDHOOD RELATED TRAUMA
Please note any childhood related trauma that the child has experienced or witnessed*

Physical AbuseSexual AbuseChronic NeglectEmotional AbuseDomestic ViolenceOther
Long Range Treatment Goals for the Child and Family *

CUSTODY AND LIVING ARRANGEMENTS
Name of person(s) with whom the child lives-list all who live in the household. If the child is currently hospitalized or incarcerated, list household members where they will reside upon release*
Is contact with any family member restricted?*

YesNo
Who is that family member(s)?*
Is the child in State’s OCS custody?*

YesNo
Name of Social Worker(s)*
Have parental rights been terminated? (Leave empty if none)*

MotherFather
Date of termination for the father*

MonthDayYear
Date
Date of termination for the mother*

MonthDayYear
Date
Upload court documents

Cancelof
Is the child involved with the Juvenile Justice System?*

YesNo
Name of Probation Officer
Please upload the custody documents (if applicable)

Cancelof

TREATMENT HISTORY
Please list all therapists, psychologists, psychiatrists and /or mental health professionals who have evaluated or treated the child within the past 2 years. Start with the most recent.*
Please upload the Historical Treatment Records (if applicable)

Cancelof

PLACEMENT HISTORY
Has the child ever been hospitalized or placed in a treatment facility, group home, foster care or other placement?*

YesNo
Leaving Placement Details*

HEALTH INSURANCE INFORMATION
Please complete information in this section based on your current insurance coverage to allow FCSA to bill insurance for services rendered. If the child is covered by Medicaid and is also covered by a private health insurance policy, you must list the health insurance information in the space provided below for FCSA to bill. Submitted Applications will not be processed without insurance information. A copy of the child’s Denali Kid Care Card and/or Other Insurance Card must be attached.
Child Name*

First NameLast Name
Child Date of Birth*

MonthDayYear

Section A
Do you have health insurance?*

Yes, I have Medicaid or Denali Kid CareNo, I do not have other health insurance – Skip to Section B.Yes, I have other health insurance – Complete information below
Please attach a copy of the child’s Denali Kid Care Card and/or Other Insurance Card must be attached

Cancelof
Medicaid or Denali Kid Care #*
Coverage Dates (To)*

MonthDayYear
Date
Coverage Dates (From)*

MonthDayYear
Date
Insurance Company Name*
Policy Number*
Company Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Policy Start Date:*

MonthDayYear
Date
Policy End Date:*

MonthDayYear
Date
Group Name:*
Policy Holder’s Name:*
Policy Holder’s Address: *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Policy Holder’s Social Security Number:*
Policy Holder’s Date of Birth*

MonthDayYear
Policy Holder’s Phone #*
Please enter a valid phone number.

Section B
The State of Alaska requires that FCSA collect the following information:
Please list your gross annual household income: $*
*If you claim this child as a dependent on your federal income tax return, your income will also be used in determining the child’s Medicaid eligibility. If you do not claim the child as a dependent, only the child’s income will be considered in determining Medicaid eligibility

Signature
Parent or Guardian Name (please print)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
NAMES OF PERSON COMPLETING THIS APPLICATION (must be from a legal guardian)*

Clear
Should be Empty:

	Last 6 weeks	History	No History	Describe
Major illnesses/injuries or surgeries
Severe fatigue after little activity
Unusual swelling or lumps
Heart problems in self or family
Blurred vision or difficulty seeing
Buzzing, ringing or infection in ears
Swollen feet or ankles
Persistent colds or coughs
Severe headaches
Problems with your sleep or rest
Bleeding gums or teeth problems
Aching joints or muscles
Constipation or diarrhea
Recent changes in your weight
Any problem with urination
Blood in your stool or urine
Asthma or other respiratory problems
Vomiting more than 3 times per week
Mouth sores more than 3 times per week
Seizures or epilepsy
Diabetes
Tuberculosis
IV Drug Use
HIV+
Pregnant
Any unusual vaginal discharge
Excessive menstrual bleeding

Application for Behavioral Health Services