Forms & Documents


Caregiver Report to the Court
Child Exit Interview
Placement Letter
Spokane Area DSHS Social Worker Contact Information
The First 30 Days
Tips for Caregivers - Monthly SW Visits
Tips to Protect Yourself as a Caregiver
What can my foster child do? Guidelines


Education Advocacy
Educational Resources for Youth
FCSN Articles


72 Hour Initial Health Evaluation Form
ABCD programs statewide
Asthma Care Tips
CHET Information
Dental Programs Spokane
Dental Referral List 2011
Dental Tips
EPSDT information
Interim Medical Voucher
Lice Brochure
Medical WACs
Safe Sleep


F2F Goals Strategies Outcomes
Fact Sheet court caregivers
FTDM info for foster parents


Background Check Authorization
DSHS Social Worker Contact Information
Fingerprint Based Background Notice
Mandatory Reporting Information
NEW! (3/15) Clothing Perk Referral Form
Out of State CAN Check
Social Network Guidelines
This is my story template
Ways To Help Children in Care!


DD Invoice Express
Direct Deposit Agreement
Direct Deposit Information
Direct Deposit Payment
FP Damage Claim Form
FP Mileage Form 2015 pdf
Rate Assessment Tips
Receiving Care Guidelines
Region 1 Payment Information
Retention Respite Guidelines Region 1
SSPS Invoice Instructions
Third Party Claim Form for Damages


Lending Library Catalog
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Community Support & Services


1101 W. College, Rm 200 Spokane, WA 99201
Phone: (509) 324-1478 Hours: Monday - Friday, 8 a.m. - 5 p.m. Medical coupons

The Spokane Access to Baby & Child Dentistry (ABCD) Program is designed to increase access to dentists for Medicaid-eligible infants, toddlers and preschoolers. Eligible children who have not yet reached their 5th birthday are enrolled; parents receive oral health education prior to the children visiting the ABCD certified dentist of their choice. Children remain in the ABCD Program until their 6th birthday. The Spokane Access to Baby & Child Dentistry Expanded (ABCD"E") program includes pediatricians and family practice physicians that provide oral health education and screenings as part of a medical exam. In addition, children ages 0 to 19 may receive up to three fluoride varnish treatments per year at their medical office. Be sure to ask about this program when you schedule and/or take your child for medical exams. For more information see:

CASA/Guardian Ad Litem

1208 W. Mallon Spokane, WA 99201
Phone: (509) 477-2469 Hours: Days & Hours vary Free

CASA (Court Appointed Special Advocate) volunteers advocate for the rights of abused and neglected children between the ages of birth and 17. Volunteers do an independent investigation and submit a written recommendation to the court. They may be asked to testify in court on behalf of the child, then monitor the case until the child is permanently placed. For more information see:

DADS (Developing an Advocacy for Dads)

1853 W. Broadway Spokane, WA
Phone: (509) 458-7445

DADS is a Spokane network of service providers who are developing resources and programs to support fathers and other significant males and to help them become more involved in the lives of children. The monthly group meetings are for service providers only. Contact Dan Wolfley at SCAN to receive information or to participate in this program. for more information

ECEAP American Indian Community Center

801 E. 2nd Ave. Spokane, WA 99202
Phone: (509) 535-3430 Hours: Monday - Friday, 7 a.m. - 6 p.m. Free

A life enrichment program primarily for low-income families with children 4 years old by August 31 of the current school year. Parent participation is strongly encouraged. Provides services, classes and activities for the entire family. ECEAP sessions are Monday - Thursday, 8:45-11:45 a.m. Wrap-around child care is available.

Independent Living Resources for Youth Aging Out

The following are excellent resources for youth aging out:



Poison Control

Phone: 1-800-222-1222

AAPCC member poison centers maintain a 24-hour Poison Help hotline. It is continuously staffed by pharmacists, physicians, nurses and poison information providers who are toxicology specialists. The Poison Help hotline provides immediate access to poison exposure management instructions and information on potential poisons.  For more information:

Resources Directory for Children with Chronic Conditions

Sponsored by the Seattle Children's Hospital

Resources Directory Available for Northwest Residents
Families who have children with chronic conditions often need to find resources to assist them in caring for their child’s needs. You may need help finding transportation to a medical visit or accessing therapy services near your home. You may want to find parent organizations or information about child care or insurance coverage.

The resource search option lets you look for resources by topic. Most resources are in Washington, Alaska, Montana or Idaho but there are a few national resources available for other states. As you contact resources, make sure you are comfortable, know what you need, and find out about costs, their ability to work with you, within your budget or with your insurance plan.


Respite and Recreation for Children with Special Needs

606 W. Sharp Spokane, WA 99201
Phone: (509) 326-8292 or toll free (800)678-5708

Easter Seals Washington offers the Respite and Recreation Program to children with special needs ages 4-14 years and their siblings. Games, crafts, activities and meals included. Easter Seals is an authorized vendor of the Division of Developmental Disabilities. For more information go to:

Washington's Child Restraint Law

Phone: 1-800-BUCK-L-UP toll-free

For information on Washington's Restraint Laws