TX HHS Form 3302. Standard Application for Residential Treatment Services

The TX HHS Form 3302, Standard Application for Residential Treatment Services, serves as an application for admission to the Health and Human Services Commission's Waco Center for Youth (WCY) or Residential Treatment Center (RTC) Project. This form is completed by the referring agency and provides essential information about a child seeking residential treatment services.

The application requires specific details about the child, including their legal name, date of birth, biological sex, county of residence, and social security number. Additionally, it asks for information about the child's strengths, interests, and personality traits, as well as any strategies caregivers should use to support the child's transition into residential treatment services. The form also includes a section for listing treatment goals the child and family would like to achieve during their enrollment in residential treatment services.

This application does not guarantee admission to either program, but it is an essential step in the process. The referring agency must complete all applicable sections of the form and submit it securely via email to WCY admissions or the RTC Project, depending on the desired program. By completing this form, the referring agency can provide a comprehensive overview of the child's needs and circumstances, helping to facilitate a smooth transition into residential treatment services.

• This application is used by referring agencies seeking admission for a child to WCY or the RTC Project.
• The form requires specific information about the child, including their legal name, date of birth, biological sex, county of residence, and social security number.