Has a risk assessment been completed? Yes No please provide details:   Has a safety plan been completed? Yes No please provide details:   Are there any safety issues T4K staff need to be aware of? Yes No please provide details: What other supports are in place for the child and/or the family?
Has a risk assessment been completed? Yes No please provide details: Has a safety plan been completed? Yes  No  please provide details: Are there any safety issues T4K staff need to be aware of? Yes  No  please provide details: What other supports are in place for the child and/or the family?
T4K_Referral_Form_2018.docx