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York County
Government Center
100 W Market St Suite 401
York, PA 17401
Phone: (717) 771-9347
Fax: (717) 771-4663
1-800-441-2025 x9347
Contact Us Via Email
www.york-county.org
Forms and Documents
File Name
Category
Date Created
Download
"What Is ECRIN" Presentation
Presentation
2/27/2008 2:39:50 PM
Download
07-08 Integrated Children's Service Plan - Final
Service Plan
3/7/2008 11:17:44 AM
Download
1.18.2008 Meeting Minutes
Minutes
2/19/2008 3:19:35 PM
Download
1.22.2008 Meeting Minutes
Minutes
3/28/2008 3:06:15 PM
Download
1.23.2008 Meeting Minutes
Meeting Minutes
3/6/2008 10:45:01 AM
Download
1.30.2008 Meeting Minutes
Minutes
3/31/2008 3:17:00 PM
Download
1.8.2008 Meeting Minutes
Minutes
3/28/2008 3:05:54 PM
Download
10.10.2008 Meeting Minutes
Minutes
4/30/2008 3:46:57 PM
Download
10.14.08 Meeting Minutes
Minutes
10/20/2008 12:23:08 PM
Download
10.16.2007 Meeting Minutes
Minutes
3/28/2008 3:10:46 PM
Download
10.23.2007 Meeting Minutes
Minutes
3/31/2008 3:16:31 PM
Download
10.30.2007 Meeting Minutes
Minutes
3/28/2008 3:08:39 PM
Download
10.5.2007 Meeting Minutes
Minutes
3/28/2008 3:07:44 PM
Download
11.13.2007 Meeting Minutes
Minutes
3/28/2008 3:09:07 PM
Download
11.14.2007 Meeting Minutes
Minutes
4/30/2008 3:46:21 PM
Download
11.19.2007 Meeting Minutes
Minutes
3/28/2008 3:09:27 PM
Download
11.27.2007 Meeting Minutes
Minutes
3/28/2008 3:10:03 PM
Download
12.11.2007 Meeting Minutes
Minutes
3/28/2008 3:10:24 PM
Download
14 Day Service Tracking Form
2/4/2010 10:52:49 AM
Download
2.12.08 Meeting Minutes
Minutes
3/7/2008 11:21:06 AM
Download
2.19.2008 Meeting Minutes
Minutes
3/28/2008 3:08:09 PM
Download
2.20.08 Meeting Minutes
Meeting Minutes
3/7/2008 2:05:01 PM
Download
2.26.2008 Meeting Minutes
Meeting Minutes
3/6/2008 10:45:29 AM
Download
2.28.2008 Work Plan
Work Plan
3/6/2008 10:44:21 AM
Download
2.29.2008 Meeting Minutes
3/6/2008 9:28:15 AM
Download
2.5.2008 Meeting Minutes
Minutes
3/28/2008 3:06:34 PM
Download
2.6.2007 Meeting Minutes
Minutes
3/31/2008 3:11:56 PM
Download
2004-2009 Human Services Program Budgets
Financial
8/17/2007 10:30:49 AM
Download
2007-2008 Annual Report
9/23/2009 4:46:42 PM
Download
2008 Poverty Guidelines
HAP Files
6/27/2007 9:55:00 AM
Download
2008 Work Plan
Work Plan
7/11/2008 4:01:39 PM
Download
2008-2009 Annual Report
6/1/2010 2:56:30 PM
Download
2009 Human Services Division Program Budget
Financial
8/17/2007 10:23:37 AM
Download
2009 York County Budget- General Fund
Financial
8/17/2007 10:24:54 AM
Download
2009 York County Budget Total
Financial
8/17/2007 10:29:13 AM
Download
2009-2010 ICSP Bulletin
Bulletin
7/11/2008 3:58:28 PM
Download
2009-2010 ICSP Final Plan
Service Plan
9/25/2008 8:11:51 AM
Download
2009-2010 YADAP Annual Report
11/12/2010 9:21:17 AM
Download
2010 - 2015 Provider Monitoring Tool
1/23/2012 10:42:30 AM
Download
2010-2011 YADAP Annual Report
9/13/2011 1:47:04 PM
Download
2010-2015 SCA-Provider Monitoring Tool
3/9/2011 3:19:39 PM
Download
3.11.08 Meeting Minutes
Minutes
7/11/2008 3:58:58 PM
Download
3.17.2008 Meeting Minutes
Minutes
4/21/2008 4:02:39 PM
Download
3.18.2008 Meeting Minutes
Minutes
3/28/2008 3:07:24 PM
Download
3.20.2008 Meeting Minutes
Meeting Minutes
3/28/2008 2:03:27 PM
Download
3.28.2008 Meeting Minutes
Minutes
4/8/2008 9:34:40 AM
Download
3.6.2007 Meeting Minutes
Minutes
3/31/2008 3:12:23 PM
Download
4.1.2008 Meeting Minutes
Minutes
4/17/2008 2:57:01 PM
Download
4.16.08 Meeting Minutes
Minutes
4/25/2008 10:42:59 AM
Download
4.3.2007 Meeting Minutes
Minutes
3/31/2008 3:14:48 PM
Download
4.9.2008 Meeting Minutes
Minutes
4/30/2008 3:45:22 PM
Download
5.13.08 Meeting Minutes
Minutes
7/11/2008 3:59:20 PM
Download
5.8.2007 Meeting Minutes
Minutes
3/31/2008 3:15:10 PM
Download
6.10.08 Meeting Minutes
Minutes
7/11/2008 3:59:44 PM
Download
6.5.2007 Meeting Minutes
Minutes
3/31/2008 3:15:42 PM
Download
7.17.2007 Meeting Minutes
Minutes
3/31/2008 3:16:09 PM
Download
7.25.2008 Meeting Minutes
Minutes
7/28/2008 1:25:18 PM
Download
7.8.08 Meeting Minutes
Minutes
7/11/2008 4:00:04 PM
Download
8.12.08 Meeting Minutes
Minutes
9/25/2008 8:13:32 AM
Download
8.7.08 Meeting Minutes
Minutes
8/7/2008 1:48:17 PM
Download
9.12.2007 Meeting Minutes
Minutes
4/30/2008 3:47:51 PM
Download
9.16.08 Meeting Minutes
Minutes
9/25/2008 8:14:32 AM
Download
9.9.08 Meeting Minutes
Minutes
9/25/2008 8:13:49 AM
Download
A Parent's Guide to CASSP - English
CASSP
6/29/2009 3:52:32 PM
Download
A Parent's Guide to CASSP - Spanish
CASSP
6/29/2009 3:53:03 PM
Download
ACT 106 Information
12/22/2010 10:26:30 AM
Download
ACT 106 Information
9/7/2011 10:49:39 AM
Download
Admission and Discharge Form
10/13/2009 10:00:29 AM
Download
Admission and Discharge Form
8/30/2011 12:08:59 PM
Download
Adult Assessment Tool - 4-20-11
4/26/2011 9:16:22 AM
Download
Advisory Council Training Module II
Schedule
2/25/2008 2:54:48 PM
Download
Advisory Council Training Schedule
Schedule
2/25/2008 2:56:40 PM
Download
Advisory Council Training Schedule
Schedule
10/9/2007 11:22:18 AM
Download
Appendix A Revised Sept 2010
9/16/2010 3:00:38 PM
Download
Appendix B Revised Sept 2010
9/16/2010 2:59:08 PM
Download
Appendix E - Updated
Appendix
8/7/2008 1:47:51 PM
Download
April 10, 2008 Meeting Minutes
Minutes
4/14/2008 2:43:22 PM
Download
Area Agency on Aging Example - ECRIN page 3
Newsletter
5/16/2008 9:36:53 AM
Download
Area of Agency on Aging Civil Service Descriptions
6/27/2007 11:20:33 AM
Download
BDAP Final Policy Bulletin
9/7/2011 11:32:27 AM
Download
BDAP Fiscal Manual 2010-2015
9/7/2011 10:42:22 AM
Download
BDAP Fiscal Manual 2010-2015
9/15/2010 10:53:31 AM
Download
BDAP Information Bulletin-PCPC Summary Sheet
9/9/2011 11:43:09 AM
Download
BDAP Operations Manual 2010-2015
9/7/2011 10:44:18 AM
Download
BDAP Operations Manual 2010-2015
9/15/2010 10:55:55 AM
Download
BDAP Prevention Manual 2010-2015
9/15/2010 10:57:19 AM
Download
BDAP Prevention Manual 2010-2015
9/7/2011 10:43:31 AM
Download
BDAP Revised Treatment Manual
9/9/2011 2:23:22 PM
Download
Brochure
4/1/2009 12:03:22 PM
Download
ByLaws
ByLaws
2/25/2008 2:51:39 PM
Download
CAPOC Partners
Partners
3/28/2008 3:19:31 PM
Download
CAPOC Work Plan - 3.18.2008
Work Plan
3/28/2008 3:23:59 PM
Download
CASSP Brochure
6/28/2007 12:20:52 PM
Download
CASSP Brochure - English
CASSP
6/29/2009 3:53:28 PM
Download
CASSP Parent Guide
6/28/2007 12:21:25 PM
Download
Cassp Referral Form
8/3/2007 2:20:52 PM
Download
CASSP Referral Form
CASSP Forms
6/27/2007 9:06:49 AM
Download
CASSP Referral Form - English
CASSP
6/29/2009 3:53:52 PM
Download
CASSP Release of Information
CASSP Forms
6/27/2007 9:08:08 AM
Download
CASSP Release of Information - English
CASSP
6/29/2009 3:54:14 PM
Download
Children and Adolescent Support Services Program
8/20/2010 9:03:53 AM
Download
Children Youth & Families Advisory Council ByLaws
ByLaws
6/27/2007 10:34:40 AM
Download
Client Liability Form
11/17/2010 10:49:38 AM
Download
Client Liability Form
9/29/2011 3:26:59 PM
Download
Client Rights Aug 2010
9/16/2010 3:03:27 PM
Download
Client Rights Notification
9/6/2011 2:33:25 PM
Download
Client Satisfaction Survey
10/20/2011 11:16:14 AM
Download
CMRR - Case Management Resource Report - November 2010
11/18/2010 1:16:34 PM
Download
CMRR Form 2010 Version
9/13/2011 2:48:31 PM
Download
Community Resource Guide
2/4/2010 10:53:43 AM
Download
Community Treatment Team Assertive Community Treatment Referral Form
9/23/2009 4:42:08 PM
Download
Complete Request for Proposal (RFP)
RFP
4/21/2008 2:40:06 PM
Download
Consent For Redisclosure
9/9/2011 2:44:54 PM
Download
Consent Form
8/3/2007 1:55:13 PM
Download
Consent to Release Info Sept 2010
9/16/2010 3:08:50 PM
Download
Dillsburg Boro Newsletter - ECRIN Example
Newsletter
4/17/2008 3:00:53 PM
Download
ECRIN Committees Flow Chart
Chart
2/28/2008 3:25:15 PM
Download
ECRIN GIS Agreement
ECRIN
8/4/2009 10:39:19 AM
Download
ECRIN GIS Agreement Form
Agreement - REVISED
10/16/2008 10:56:48 AM
Download
ECRIN Implementation Plan
ECRIN
8/4/2009 10:38:01 AM
Download
ECRIN Implementation Plan Letter
Letter
2/27/2008 2:40:30 PM
Download
ECRIN Municipal Codes
ECRIN
8/4/2009 10:38:24 AM
Download
ECRIN Resident Sign-Up Form
Form
2/27/2008 2:38:54 PM
Download
ECRIN Resident Signup Form - English
ECRIN
8/4/2009 10:31:01 AM
Download
ECRIN Resident Signup Form - Spanish
ECRIN
8/4/2009 10:31:23 AM
Download
ECRIN Resident Sign-Up Form *SPANISH*
Form
9/17/2008 2:22:10 PM
Download
Evaluation Report (English)
2/4/2010 10:46:30 AM
Download
Evaluation Report (Spanish)
2/4/2010 10:46:49 AM
Download
Extended Acute Care
9/23/2009 4:42:26 PM
Download
Faith Based Disclosure
9/6/2011 3:44:09 PM
Download
Faith Based Disclosure Form
9/16/2010 3:11:46 PM
Download
Family Group Referral Consent Form
FGDM
2/14/2011 10:34:33 AM
Download
February 20,2008 Meeting Minutes
Minutes
2/29/2008 12:22:07 PM
Download
February 26, 2008 Meeting Minutes
Minutes
2/29/2008 2:49:13 PM
Download
FGDM Brochure - English
FGDM
6/29/2009 3:54:45 PM
Download
FGDM Community Referral - English
FGDM
6/29/2009 3:55:07 PM
Download
Final Policy Bulletin Changes to Treatment Manual
9/23/2010 1:52:14 PM
Download
Flex Fund
9/23/2009 4:41:40 PM
Download
General Consent to Release-Sept 2010
9/6/2011 3:49:55 PM
Download
Grievance and Appeal
9/7/2011 9:34:22 AM
Download
Grievance and Appeal Form Aug 2010
9/16/2010 3:12:53 PM
Download
HIPAA Notice of Privacy Practices (English)
2/4/2010 10:51:41 AM
Download
HIPAA Notice of Privacy Practices (Spanish)
2/4/2010 10:52:02 AM
Download
House Bill 1052 - For May Meeting
House Bill
4/25/2008 9:53:46 AM
Download
House Bill 1455 - For May Meeting
House Bill
4/25/2008 9:54:08 AM
Download
House Bill 1929 - For May Meeting
House Bill
4/25/2008 9:54:56 AM
Download
House Bill 521 - For May Meeting
House Bill
4/25/2008 9:52:41 AM
Download
House Bill 76 - For May Meeting
House Bill
4/25/2008 9:52:10 AM
Download
Housing Program
11/2/2009 10:40:44 AM
Download
Individualized Family Service Plan (English)
2/4/2010 10:47:15 AM
Download
Individualized Family Service Plan (Spanish)
2/4/2010 10:49:03 AM
Download
Information Release Form
8/3/2007 2:23:51 PM
Download
IOP - Partial Client Liability Table 2012
1/4/2012 1:28:36 PM
Download
January 17, 2008 Meeting Minutes
Minutes
2/25/2008 2:59:44 PM
Download
January 22, 2008 Meeting Minutes
Minutes
2/29/2008 2:50:22 PM
Download
January 23,2008 Meeting Minutes
Minutes
2/29/2008 12:20:41 PM
Download
July 18, 2006
8/23/2007 11:13:26 AM
Download
LICC / STEPP (English)
4/6/2010 9:56:49 AM
Download
LICC / STEPP (Spanish)
4/6/2010 9:57:25 AM
Download
Manchester Township Newsletter - ECRIN Example
Newsletter
4/10/2008 4:00:35 PM
Download
March 13, 2008 Meeting Minutes
Minutes
3/27/2008 11:31:14 AM
Download
March 25, 2008 Meeting Minutes
Minutes
3/27/2008 11:31:48 AM
Download
Maximum Client Benefits Form 2010
11/17/2011 3:56:13 PM
Download
Maximum Clients Benefits Aug 2010
9/16/2010 3:25:45 PM
Download
May 19, 2006
8/23/2007 11:14:20 AM
Download
Meeting Minutes 02.07.2008
Minutes
2/22/2008 3:27:22 PM
Download
Meeting Minutes 10.04.2007
Minutes
2/22/2008 3:24:40 PM
Download
Meeting Minutes 11.01.2007
Minutes
2/22/2008 3:25:44 PM
Download
Meeting Minutes 12.06.2007
Minutes
2/22/2008 3:26:47 PM
Download
Meeting Minutes 4.17.2007
Minutes
2/22/2008 3:21:26 PM
Download
Memo 2-28-11 - Cease use of HIPAA Forms to YADAP
9/13/2011 1:56:26 PM
Download
Memo RE: 5 Day Notification of Limiting/Discontinuing Admissions
2/10/2011 10:56:43 AM
Download
Memo Re: Ceasing Use of YADAP HIPAA form
3/1/2011 9:54:01 AM
Download
Memo: 5 Day Notification of Limiting/Discontinuing Admissions
9/13/2011 1:55:10 PM
Download
Memo-12-1-10 New Client Forms and Instructions
9/13/2011 1:53:57 PM
Download
MEMO-Effective 12-1-10 New Forms and Instructions
11/24/2010 2:44:00 PM
Download
Mental Retardation System White Paper - August 2007
White Paper
2/25/2008 2:52:58 PM
Download
Mental Retardation System White Paper August 2007
Discussion Document
12/18/2007 2:03:09 PM
Download
Needs Assessment Executive Summary
Report
1/29/2008 10:38:25 AM
Download
Needs Assessment Full Report - Part I
Report
1/29/2008 10:38:04 AM
Download
Needs Assessment Full Report - Part II
Report
1/29/2008 10:37:39 AM
Download
Needs Assessment Full Report - Part III
Report
1/29/2008 10:37:18 AM
Download
Needs Assessment Full Report - Part IV
Report
1/29/2008 10:36:07 AM
Download
Needs Assessment Full Report - Part V
1/29/2008 10:35:30 AM
Download
Non Treatment Needs Sept 2010
9/7/2011 9:35:16 AM
Download
Non-Treatment Needs Form Sept 2010
9/16/2010 3:26:42 PM
Download
November 15, 2007 Meeting Minutes
Minutes
2/20/2008 3:22:16 PM
Download
November 2, 2006
8/23/2007 11:14:57 AM
Download
November 29, 2007 Meeting Minutes
Minutes
2/29/2008 2:50:56 PM
Download
October 18, 2007 Meeting Minutes
Minutes
2/20/2008 3:18:58 PM
Download
October 2, 2007
10/5/2007 3:12:01 PM
Download
Outpatient Liability Table 2012
1/4/2012 1:20:02 PM
Download
Outpatient Treatment Funding Protocol 1-11
9/13/2011 1:52:27 PM
Download
Outpatient Treatment Funding Protocol Rev 1-11
3/1/2011 9:58:03 AM
Download
Parents Rights Agreement (English)
2/4/2010 10:45:43 AM
Download
Parents Rights Agreement (Spanish)
2/4/2010 10:46:02 AM
Download
PCPC-Adolescent Summary Sheet
9/7/2011 9:38:08 AM
Download
PCPC-Adolescent Summary Sheet
9/16/2010 3:27:45 PM
Download
PCPC-Adult Summary
9/16/2010 3:29:13 PM
Download
PCPC-Adult Summary Sheet
9/7/2011 9:49:58 AM
Download
Problem Solving In Early Intervention (English)
2/4/2010 10:53:06 AM
Download
Problem Solving In Early Intervention (Spanish)
2/4/2010 10:53:22 AM
Download
Project Planning Worksheet Jan & Feb 2008
Worksheet
2/26/2008 2:50:54 PM
Download
Quarterly Progress Monitoring Form
2/4/2010 10:52:32 AM
Download
Referral Form
8/3/2007 1:54:07 PM
Download
Request for Liability Reduction
9/13/2011 1:37:21 PM
Download
Residential Client Liability Table 2012
1/4/2012 1:30:14 PM
Download
Revised BDAP Treatment Manual
10/26/2010 11:10:37 AM
Download
Revised RFA Instructions 2-28-11
3/1/2011 9:56:11 AM
Download
RFA Form Sept-2010
8/30/2011 10:04:48 AM
Download
RFA Instructions - Feb 28, 2011
9/6/2011 2:43:19 PM
Download
RFA Instructions 2-28-11
8/30/2011 10:12:23 AM
Download
RFA-Sept 2010
3/1/2011 10:06:46 AM
Download
Satisfaction Survey Aug 2010
9/16/2010 3:37:05 PM
Download
SCA-Provider Monitoring Tool
9/7/2011 10:46:51 AM
Download
September 13, 2007 Meeting Minutes
Minutes
10/9/2007 3:47:12 PM
Download
Sheriff to YADAP to DPW Consent for Disclosure
9/9/2011 2:46:06 PM
Download
Single Point of Contact - York County
6/28/2007 11:18:37 AM
Download
Strategic Planning Request For Qualifications(RFQ)
RFQ
2/29/2008 12:24:55 PM
Download
TB Questionnaire
10/26/2010 11:22:01 AM
Download
TB Questionnaire 8-10
9/7/2011 9:50:57 AM
Download
Tentative Training Schedule 2010-2011
5/18/2011 2:26:41 PM
Download
Treatment Court Update DTC-MHC-REC
9/7/2011 10:41:14 AM
Download
Treatment Court Update DUI Court
8/30/2011 10:31:11 AM
Download
Treatment Court Update Form - DUI Court
10/27/2010 10:07:22 AM
Download
Treatment Court Update Form DTC-MHC-REC
10/26/2010 11:23:35 AM
Download
Truancy Information for Legal
6/28/2007 11:17:06 AM
Download
Truancy Information for Medical Providers
6/28/2007 11:15:47 AM
Download
Truancy Information for Parents
6/28/2007 11:16:21 AM
Download
Truancy or School Refusal
6/28/2007 11:14:27 AM
Download
West Manchester Township Newsletter - ECRIN Exmaple
Newsletter
4/10/2008 4:01:57 PM
Download
West York Boro Billing Insert - ECRIN Example
Billing Insert
4/10/2008 4:02:47 PM
Download
What Is ECRIN - Quick Reference Pamphlet
Pamphlet
3/27/2008 11:43:14 AM
Download
What is ECRIN - Quick Reference Pamphlet SPANISH
Pamphlet
3/4/2009 11:29:20 AM
Download
What Is ECRIN? Pamphlet - English
ECRIN
8/4/2009 10:37:18 AM
Download
What Is ECRIN? Pamphlet - Spanish
ECRIN
8/4/2009 10:37:43 AM
Download
YADAP Adult Assessment Tool Aug 2010
9/13/2011 2:02:02 PM
Download
YADAP Complaint Form 8-10
9/13/2011 1:57:54 PM
Download
YADAP Complaint Form Aug 2010
9/16/2010 3:44:48 PM
Download
YADAP Screening Tool Aug 2010
9/16/2010 3:45:53 PM
Download
YADAP Training Schedule 2011-2012 (Tentative)
9/13/2011 2:30:24 PM
Download
York City Newsletter - ECRIN Example
Newsletter
4/10/2008 3:59:54 PM
Download
York-Adams IOP-Partial Hospitalization Liability Tables
6/23/2011 1:48:32 PM
Download
York-Adams Outpatient Liability Tables
6/23/2011 1:46:39 PM
Download
York-Adams Residential Liability Tables
6/23/2011 1:49:51 PM
Download
Area Agency on Aging
-
Children & Youth Services
-
Human Services
-
Veterans Affairs
York/Adams Drug & Alcohol
-
York/Adams HealthChoices Management Unit
York/Adams Mental Health/Mental Retardation
-
Youth Development Center
Copyright 2007 York County Human Services Division
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