• Consent to Exchange CHILD'S Information - Word Doc - English
• Consent to Exchange PARENT'S Information - Word Doc - English
• Consent to Exchange CHILD'S Information - DocuSign Form - English 
• Consent to Exchange PARENT'S Information - DocuSign Form - English

Spanish Language Forms

• Consent to Exchange CHILD'S Information - Word Doc - Spanish
• Consent to Exchange PARENT'S Information - Word Doc - Spanish
• Consent to Exchange CHILD'S Information - DocuSign Form - Spanish 
• Consent to Exchange PARENT'S Information - DocuSign Form - Spanish

Additional Languages

• Arabic – Consent to Exchange CHILD’S Information
• Arabic – Consent to Exchange PARENT’S Information
   
• Chinese – Consent to Exchange CHILD’S Information
• Chinese – Consent to Exchange PARENT’S Information
   
• Farsi - Consent to Exchange CHILD’S Information
• Farsi - Consent to Exchange PARENT’S Information 
   
• Korean - Consent to Exchange CHILD’S Information
• Korean - Consent to Exchange PARENT’S Information
   
• Vietnamese - Consent to Exchange CHILD’S Information
• Vietnamese - Consent to Exchange PARENT’S Information 

• Team-Based Planning Meeting Request Form
• IFSP-EZ
• Meeting Action Plan (MAP)
• Meeting Action Plan (MAP) - Spanish
• Case Manager Request for Community-Based Services
• Case Manager Request FAPT Meeting
• Substance Abuse Disorder Request (For CSB Only)
• Psychiatric Hospitalization Diversion

CANS Manual: 

• Manual - Standard CANS Birth - 4 years old
• Manual - Standard CANS 5+
• CANS Glossary
• Manual - Enhanced DFS CANS Birth - 4 years old
• Manual - Enhanced DFS CANS 5+

CANS certification and CANVaS information:

• CANS Certification - https://www.schoox.com/academy/CANSAcademy/home/
  • Log in instructions for New CANS users 
  • Log in instructions for Previously Certified CANS users
• CANVaS Instructions - contains information on setting up a CANVaS account and entering CANS ratings in the CANVaS system
• CANVaS Account Request form
• CANVaS Login

• Parental Contribution Checklist for Case Managers
• Parental Contribution Assessment (includes waiver/reduction request form)
• Parental Contribution Assessment (Spanish) (includes waiver/reduction request form)
• Parental Contribution Assessment (DocuSign Form)
• Parental Contribution Assessment (Spanish - DocuSign Form)

Parental Contribution Informational Documents

• Parent Contribution Information for Families 2025
• Parent Contribution Information for Families 2025 (Spanish)

• Encumbrance Form

CSA Provider Directory 

Please use the Provider Concern Form to document your concern with about a CSA provider. Please note that these submissions are not reviewed immediately.

If this is an emergency or situation that requires immediate attention, please first contact the proper authorities and consult with your supervisor prior to completing this form. If needed, contact CSA staff directly.

• Child Specific Contract Request
• Child Specific Contract Request Attachment
• Provider Reporting Requirements
• Provider Reporting Requirements at a Glance (Short version)

• Administrative Reconsideration Request
• CSA Eligibility Form
• Intensive Care Coordination Referral Form
• Intensive Care Coordination Referral Form - SPANISH
• Intensive Care Coordination Budget/Extension Request
• Amend Service Authorization Request Form (Fix Memo)
• Contract Services/Placement by Other Agencies Case Information (Special Education Students)
• IAACT Inquiry Form
• Transportation Estimate Calculator (Excel) 
• CSA Case Status Change Form
• County to County Transfer
• Parental Agreement 
• Parental Agreement - SPANISH

CSA provides mandatory and supplemental trainings to help prepare staff who interact and work with the CSA program to effectively serve children, youth, and families who access services through our system(s).  

Required Trainings
 
All new CSA case managers are required to participate in the three-part training series within the first 12 months of hire. The intended audience is CSA lead case managers, supervisors of lead case managers, Family Assessment and Planning Team (FAPT) members, and CSA staff. Attendance is also required of FCPS and FCCPS school social workers, FCPS-MAS staff, probation officers, and CSB therapists who work with the CSA program.  

• Part I: Intro to System of Care - Overview of Systems of Care principles and Practice Standards.
• Part II: Facilitating Family Resource Meetings (FRMs)
  Outlines the process on how and when to request a family resource meeting. Covers the essential elements of conducting a family meeting to include: preparing for the meeting, orienting youth and families to the meeting process, facilitating the meeting and developing an action plan that identifies the needs, strengths, and objectives for the team.
• Part III: Accessing CSA Services (Part II is required before attending Part III)
  Overview of CSA eligibility criteria, referral process, forms, CANS requirements, resources, contracts, and utilization review process.

Lunch n Learns:

• TBA

Annual Training Opportunities:

• Commonwealth of Virginia's Children's Services Act Conference
• Northern Virginia Coalition of Private Provider Associations
• NOVA Annual CSA Symposium and Provider Expo

Upcoming Community Outreach Events

• TBA

To receive updates regarding CSA training opportunities, sign up for the CSA Connections newsletter.