MEMO: Revised Forms

TO: All Staff

FROM: Rachel Tinney

CC: Service Mangers, Assistant Directors of Services, Directors of Services, Thelma Morris, Executive Director

DATE: December 17, 2021

RE: Revised Forms


Through our Mamow Obiki-ahwahsoowin Service Model, under the guidance of our Elders, Tikinagan’s Forms Committee has been working to continuously improve and build relationships with the people and First Nations that we serve.

Every child and family have their own circle of care, through Mamow Obiki-ahwahsoowin we encourage this and wherever possible work toward admission prevention and also reunification. We do recognize that there are times when financial assistance may be needed and have worked on the further development of our forms as a means for this to be possible. In situations where financial assistance is needed the per diem amount for the south is $30/day per child and for the north is $40/day per child. The committee has done significant work to complete revisions, attached you will find the following revised forms:

  1. Supervision Agreement
  2. Safety Plan
  3. Risk Assessment
  4. Risk Re-assessment
  5. Reunification Assessment

These forms are to be implemented and effective today, December 17, 2021. You will find these forms on our Shared Drive and the Staff Portal.

Please contact your Service Manager with any questions or concerns