Transfer-InGOALS Client ID CL-008221 Current Agency Puget Sound Care Network Assigned GOALS Case Manager Unassigned Date Created 1969-12-29 Transferring Programs
Renata Vogel
DraftTR-000101Employment
Missing before Pending for Auth: Assigned GOALS case manager.
Program Transfer Summary
| Program | Current Agency | Route | Authorization Status | GOALS Program Status |
|---|---|---|---|---|
| Employment | Puget Sound Care Network | Transfer to GOALS | Pending for Auth | Not Active |
| Housing | Puget Sound Care Network | Not Currently Receiving This Program | Not Applicable | Not Managed by GOALS |
Client Information
- Preferred Name
- —
- Date of Birth
- 1975-02-08
- ProviderOne ID
- —
- Primary Phone
- (425) 555-0190
- Secondary Phone
- —
- r.vogel@email.com
- Address
- —
- Service County
- King
- Service City
- Renton
- Preferred Contact
- —
- Preferred Language
- —
- Intake Source
- Transfer-In
Current Agency and Provider
- Agency
- Puget Sound Care Network
- Agency Contact
- —
- Agency Phone
- —
- Agency Email
- —
- Current Provider
- —
- Provider Phone
- —
- Provider Email
- —
- Transfer Request Date
- 1969-12-29
- Transfer Reason
- —
- Additional Notes
- —
GOALS Assignment
- Case Manager
- Unassigned
- Supervisor
- —
- GOALS Service County
- Not Set
- GOALS Service City
- Not Set
- Expected Transfer Date
- —
- Internal Notes
- —