Information for CA Social Workers


Welcome Childen's Administration Social Workers!


CA Social Workers please send a completed CAP referral packet to your local CAP evaluator. Completed referral packets will include:

  1. Signed DSHS consent form (DSHS 14-012)
  2. Current CPS referral information including case notes
  3. Referral history of the family (e.g., # prior referrals)
  4. Safety Assessment and Plan
  5. GAIN SS (Global Appraisal of Individual Needs – Short Screener)
  6. Family Assessment (if available)
  7. Medical reports (if available)
  8. Child Protection Medical Consultation Report (if applicable)
  9. Structured Decision Making (SDM) Risk Assessment (if available)

For the fax cover sheet, click here.
For information on who can be referred, click here.
For Frequently Asked Questions, click here.
For the DCFS Liaison in your area, click here.

For more information about the program, contact your local CAP evaluator or contact Diane Klindt at 206-744-1681.