(e) Medical information, including providers, health insurance coverage, diagnoses, medications, medical or mental health appointments, special medical equipment needs, and any other medical information necessary for care of the child.
(f) School or child care that the child currently attends or most recently attended.
(g) Emotional or mental health needs.
(h) Behavioral issues or concerns.
(i) Physical or personal care information.
(j) Considerations for making reasonable and prudent parenting decisions.
(k) Any additional information critical to the care of the child.
(L) General information about the child, including the child’s name, date of birth, race, tribal affiliation, the spiritual or religious affiliation of the child or family, and the preferred place of worship.
(m) Placement reasons, including child abuse or neglect; delinquent acts; disability; substance abuse; emotional disturbance; behavioral issues; learning disability; and death, illness, or incarceration of the child’s primary caregiver.
(n) Significant contact information, including the child’s agency caseworker and secondary contact, child’s siblings, other individuals who may be having contact with the child, legal custodian or guardian, guardian ad litem and legal counsel, and individuals whose contact with the child is restricted or prohibited.
(o) Medical information, including providers, preferred hospital, and insurance coverage.
(p) Placement history and permanence goals.
(q) Educational information, including the child’s behavioral history in educational settings, special educational needs and services, and school-related time or services needed from the physical custodian.
(r) Emotional information regarding attachment, attention or functioning level, mental health, and other behaviors or concerns.
(s) Behavioral information regarding the child’s diet, substance use or abuse, sexual development or behaviors, violence or aggression, and other activities or behaviors.
(t) Involvement in any activities that are harmful to the child’s well-being.
(u) Physical or personal care information regarding the child’s development, health concerns or symptoms, illnesses or medical diagnoses, medical appointments and treatment, and physical or medical restrictions.
(v) Physical custodian qualifications or needs.
(w) A list of important documents and records regarding the child that have been given to the physical custodian.
(x) A plan for managing challenging behaviors, including a list of the child’s behaviors that may lead to health or safety concerns, warning signs of escalating behaviors, steps to take in response to those escalations, and the agency’s reporting requirements.
Note: Information required under pars. (a) to (k) is entered on Form DCF-F-872A-E, Information for Physical Custodians, Part A. Information required under pars. (L) to (y) is entered on Form DCF-F-872B-E, Information for Physical Custodians, Part B. Both forms are available in the forms section of the department website at http://dcf.wisconsin.gov or by writing the Division of Safety and Permanence, P.O. Box 8916, Madison WI 53708-8916. DCF 37.05 Confidentiality. (1) Except as permitted under s. 252.15 (6), Stats., a physical custodian that receives any information under this chapter shall keep the information confidential and may disclose that information only for the purposes of providing care for the child or participating in a court hearing or permanency plan review concerning the child. (2) When an agency first provides any information regarding a child to the physical custodian, the agency shall inform the physical custodian of all confidentiality requirements mandated under state or federal law, including the confidentiality requirements under ss. 48.396, 48.78, 48.981 (7), 51.30, 118.125, 146.82, 252.15, 938.396, and 938.78, Stats., and any agency policy. The agency shall also inform the physical custodian of any penalties that may be imposed for violating the confidentiality rights of the child and the child’s family. (3) The agency providing information about a child shall require that the information and any related documents be maintained by the physical custodian in a manner that would prohibit access to the information by the child, any other children in the care of the physical custodian, and any other party whose access to the information is prohibited.
SECTION 2. Chapter DCF 37 Appendices A and B are repealed.
SECTION 3. EFFECTIVE DATE. This rule shall take effect the first day of the month following publication in the Administrative Register as provided in s. 227.22 (2) (intro.), Stats.
