Family Voices Network

  1. Service provider and/or parent identifies that a child/youth meets the target population for Family Voices Network (FVN). 
  2. Service provider and parent/guardian complete FVN application and permission for disclosure form (consent form).  Service/treatment summary is included that identifies risk of placement/hospitalization as well as part/current interventions to address those risk factors.  If available, the DSM-IV 5Axis Diagnosis and the Child and Adolescent Functional Assessment Scale (CAFAS) score (by domain) must be included.  Referral Process Form and Consent Form.


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Phone: (716) 858-8530

Department of Mental Health
Edward A Rath County Office Building
95 Franklin Street, Room 1237
Buffalo, New York 14202