№ lp_1_2_33820
Packet for continued enrollment in the Family Support Program providing instructions and required forms for youth or guardians to submit documentation and consent for eligibility determination.
Year: 2018
Organization: Department of Healthcare and Family Services (HFS)
Supporting Agency: eQHealth Solutions, Inc.
Document Type: Enrollment Authorization Request Packet
Target Audience: Youth participants and legal guardians
Submission Period: Last 30 days of 180-day FSP eligibility
Required Documentation: Completed forms, financial information, behavioral health treatment history, progress notes, guardian acknowledgements, and updated treatment plan
Method of Submission: Fax or mail to eQHealth Solutions, Inc.
Location: Lombard, IL, United States
Price: 8 / 10 USD
The file will be delivered to the email address provided at checkout within 12 hours.

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