WebDHS-3200 (Rev. 10-12) Previous edition may be used. MS Word 2 TO BE COMPLETED BY MEDICAL PERSONNEL WHEN PHYSICAL EXAMINATION HAS BEEN DONE 20. … Webthe DHS-3200, unless critical information is missing in the professional report. At intake, the mandated reporter will be reminded of the legal requirement to submit a written report on the DHS-3200 form within 72 hours to DHS. The form is available online from the DHS public website. If the reporting person does not have the DHS-3200 form or ...
DHS Michigan Form 3200 - DHS Forms 2024
WebComplete and submit DHS form 3200 (Report of Actual or Suspected Child Abuse or Neglect) within 72 hours. Public and private schools and other institutions shall cooperate with Department of Human Services (DHS) during an investigation of a report of child physical abuse, sexual abuse, or neglect. WebDepartment of Human Services (DHS) will not discriminate against any individual or group because of race, religion, age, national origin, color, height, weight, marital status, sex, sexual ... [email protected] . 1. Date – Enter the date the form is being completed. ... DHS-3200, Report of Actual or Suspected Child Abuse or Neglect ... dateline deadly sanctuary pastor
Dhs 3200 - Fill and Sign Printable Template Online - US Legal Forms
WebFax – (616) 977-1154 and (616) 977-1158. Mail. Centralized Intake (State of Michigan DHHS) 5303 28th Street Court SE Suite A. Grand Rapids, MI 49546. Email – [email protected]. The 3200 form is available in the "Make a Report" page on the right hand side of your screen. If submitting online, visit newmibridges.michigan.gov and ... Web(CPS) unit to which the oral report was made. Utilize the form DHS-3200, Report of Actuaherl or Suspected Child Abuse or Neglect, to file the written report. The name of the child and a description of the abuse and/or neglect must be included in the DHS-3200 report. When possible, the report should contain the names and addresses WebMandated Reporters - Michigan. Schools Details: WebReporting online eliminates the requirement to fill out a DHS-3200 form.If you call the hotline to report, please fax or email the completed DHS-3200 form to Centralized … michigan centralized intake online portal dateline deadly twist rachel