Initial Packet - English Logo
  • Phone: 973-770-5505 Fax: 973-770-5557
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  • Caring Partners Initial Packet

    This form is to be completed by a parent/guardian or the youth (if 18 or older). This form contains a consent for Care Management Services, Electronic Communication and Authorization to Transport Form. The link to the form is sent from the Care Manager to the newly enrolled youth and their family and is gone over during the initial visit.
    • Caring Partners Staff Information 
    • Please choose your Care Manager's name in the drop down below and then their name will appear in the "Care Manager Name Confirmation" box. Please click the button to complete the fields below in this section. If the Care Manager's name is not listed for some reason, please choose "*Not listed or unknown". If there is an error, you can skip the rest of this section.

    • Consent for Care Management Section 
    • Consent for Care Management Service & Authorization for Certain Disclosures

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    • NOTE: Youths age 14 and older are required to sign consent forms. Please ensure the youth is available to sign this form prior to submission. For youths under 18 years of age, the parent or other legally authorized person also must sign this form.


    • Electronic Communication Section 
    • Electronic Communication Authorization Form

    • Authorization to Transport Section 
    • Authorization to Transport and Waiver of Liability

      On occasion, there may be a need for Caring Partners to transport the youth. If the need arises, staff will only transport the youth in an agency vehicle.
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    • Signatures 
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    • General Information Section 
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    • Please visit our website to view and save forms: 

      Caring Partners Website

      Under Families:

      • Family Handbook

      Coming Soon:

      • Family Support Organization brochure
      • Grievance and Appeals Policy Notice
      • HIPAA Privacy Notice
      • "What is HIPAA" brochure
      • Third Party Liability Letter

      For a wide range of information about support, resources, and services for families in Morris and Sussex Counties, please visit Morris Sussex Resourcenet.org

    • Thank you for completing this form. If you have provided an email address, you will receive a copy of the form. If you have any questions about any of the content of this form, please feel free to contact your Care Manager or your Care Manager's Supervisor.

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