REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Human Services ... DHS-3200 (Rev. 10-12) Previous edition may be used. MS Word 1
Form DHS-3200 - Fill Out, Sign Online and Download Fillable PDF ...
Feb 1, 2012 · Download a fillable version of Form DHS-3200 by clicking the link below or browse more documents and templates provided by the Michigan Department of Health and Human Services.
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Filling out the Dhs 3200 form is a critical step in reporting actual or suspected child abuse or neglect. This guide provides comprehensive instructions on each section of the form to ensure that all …
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If only reporting an infant was born exposed to alcohol, a controlled substance, or metabolite, administered to the infant or birthing parent because of medical treatment, notify the Centralized …
REPORT OF ACTUAL OR SUSPECTED CHILD ABUSE OR NEGLECT Michigan Department of Health and Human Services ... DHS-3200 (Rev. 6-18) Previous edition may be used. 1
Mandated Reporters - State of Michigan
Reporting 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 Intake within 72 hours.
Describe injury or conditions and reason for suspicion of abuse or neglect FORMTEXT FORMTEXT FORMTEXT 14.