Transfer-In

Curtis Boyle

Withdrawn / CancelledTR-000100
GOALS Client ID
CL-007901
Current Agency
Evergreen Support Alliance
Assigned GOALS Case Manager
Jordan Webb
Date Created
1969-11-28
Transferring Programs
Employment
Closed 1969-12-20 by Sam Vega · Reason: Client stayed with current agency

Program Transfer Summary

ProgramCurrent AgencyRouteAuthorization StatusGOALS Program Status
EmploymentEvergreen Support AllianceTransfer to GOALSNot ApplicableNot Active
HousingEvergreen Support AllianceRemain with Current AgencyNot ApplicableNot Managed by GOALS

Client Information

Preferred Name
Date of Birth
1969-09-27
ProviderOne ID
201778340WA
Primary Phone
(206) 555-0288
Secondary Phone
Email
Address
Service County
King
Service City
Kent
Preferred Contact
Preferred Language
Intake Source
Transfer-In

Current Agency and Provider

Agency
Evergreen Support Alliance
Agency Contact
Hal Brimmer
Agency Phone
Agency Email
Current Provider
Provider Phone
Provider Email
Transfer Request Date
1969-11-28
Transfer Reason
Client considered transferring employment services.
Additional Notes

GOALS Assignment

Case Manager
Jordan Webb
Supervisor
Sam Vega
GOALS Service County
Not Set
GOALS Service City
Not Set
Expected Transfer Date
Internal Notes