cps_387 case plan

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Georgia Department of Human Resources SOCIAL SERVICES – CASE PLAN DATE CASE PLAN BETWEEN AND NAME COUNTY CHILDREN: 1. 4. 2. 5. 3. 6. DURATION DATES FROM: TO: OVERALL CASE OUTCOME A. PROTECTION/RISK REDUCTION B. PERMANENCY: (SELECT TYPE BELOW) REUNIFICATION ADOPTION LONG TERM F/C OTHER (Specify) EMANCIPATION IL ANTICIPATED DATE OF ACHIEVEMENT: STRENGTHS: NEEDS: GOALS: 1. 2. 3. CPS_387 Social Services Case Plan (Revised 09/06) Page 1 of 2

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Georgia Department of Human Resources

Georgia Department of Human Resources

SOCIAL SERVICES CASE PLAN

DATE

CASE PLAN BETWEENAND

NAMECOUNTY

CHILDREN:

1. 4.

2. 5.

3. 6.

DURATION DATES FROM: TO:

OVERALL CASE OUTCOMEA. FORMCHECKBOX PROTECTION/RISK REDUCTION

B. FORMCHECKBOX PERMANENCY: (SELECT TYPE BELOW)

FORMCHECKBOX REUNIFICATION FORMCHECKBOX ADOPTION

FORMCHECKBOX LONG TERM F/C FORMCHECKBOX OTHER (Specify)

FORMCHECKBOX EMANCIPATION IL

ANTICIPATED DATE OF ACHIEVEMENT: STRENGTHS:NEEDS:

GOALS:

1.

2.

3.

4.

SIGNATURES

CPS_387 Social Services Case Plan (Revised 09/06) Page 1 of 1