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C H I L D R E N S D I V I S I O N
W R I T T E N S E R V I C E A G R E E M E N T ( C D 1 4 - B ) P a g e F O R M T E X T o f F O R M T E X T
G o a l D evelopment: For each goal, indicate the corresponding domain(s) from the NCFAS-G+R assessment. It is possible for one goal to address multiple domains.Environment
Parental Capabilities
Family InteractionsFamily Safety
Child Well-Being
Social/Community LifeSelf-Sufficiency
Family HealthReadiness for Reunification
Caregiver/Child AmbivalenceDOMAIN (from NCFAS-G+R): FORMTEXT G O A L 1 : F O R M T E X T T a s k s t o a c c o m p l i s h t h e g o a l W h o w i l l d o t h e t a s k ? T i m e f r a m e ? D a t e C o m p l e t e d 1 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 2 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T D O M A I N ( f r o m N C F A S - G + R ) : F O R M T E X T G O A L 2 : F O R M T E X T T a s k s t o a c c o m p l i s h t h e g o a l W h o w i l l d o t h e t a s k ? T i m e f r a m e ? D a t e C o m p l e t e d 1 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 2 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 3 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T 4 . F O R M T E X T F O R M T E X T F O R M T E X T F O R M T E X T D O M A I N ( f r o m N C F A S - G + R ) : F O R M T E X T G O A L 3 : F O R M T E X T T a s | * . n p x z qcO? h*CJ \^J aJ 'j h
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