Case Aide Program - Secret Harbor

Secret Harbor is excited to be part of a pilot program for our region, providing case aide support services to licensed foster parents, in Skagit and Snohomish Counties. We will be providing qualified and caring Case Aides to support foster families, in their every day lives, as we know how quickly a busy family life can feel like its spiraling out of control.

Our services are flexible, unique and catered to you- the foster parent. You do not need to be licensed with Secret Harbor, but must hold a valid license from the State of Washington, reside in Skagit or Snohomish Counties and have an active placement.

Its a simple two step process- start below and submit your verification form:

Case Aide Program Intake Form

Provider Number*
Date Licensed
Licensed through:*
- State of Washington
- Private Agency
Name of Private Agency (if applicable)
Healthy Sexual Development Training
I am signing up for child care services for the Healthy Sexual Development Training, March 23rd 2020
Name*
First, Last
Number of Youth in Home*
Please include biological, step/half siblings and foster youth.
Youth Information*
Please enter the Full Name, Date of Birth (mm/dd/year) and gender (M/F) of each youth under the age of 21. Please include the FAMLINK ID for any foster youth.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Email*
Untitled
Untitled
- First Choice
- Second Choice
- Third Choice
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Once you have received a phone call from a Secret Harbor employee notifying you of your approval, you may use the Service Request Form (below) at any time. Please note one week notice is required and you may schedule up to one month in advance.

CAP Request for Service

Name*
First Last
Provider Number*
Please enter your provider number. If you have not yet been been approved by Secret Harbor, please complete the Intake Form, prior to requesting service. Your service cannot be approved unless you have have completed the verification process.
Date*
Please enter the date you require service. PLEASE NOTE: service must be requested one week in advance, schedule up to one month in advance. Typical service window is between 3-4 hours.
Date Format: DD slash MM slash YYYY
Service starts?*
Please enter the time of day in which you request service to begin.

: HH

MM
Service ends?*
Please enter the time of day in which the service will end.

: HH

MM
Details*
Please tell us how you plan to utilize the Case Aid's support. Make sure to let us know any pertinent details, such as how many youth will be in the Case Aide's care, specific instructions, and any other information you wish to share. e.g. "Need to take younger sibling to the dentist, requesting case aide to supervise two remaining siblings (age 8 and 10) in the home while we are out."
Address*
Please list your home address. If you require service to happen outside your home, please note that in the Details section of this form.

Street Address Address Line 2 City State ZIP Code