Step 1: Court Supervision Intake
    (To be done before ANY form of assessment)
    ​
    PLEASE NOTE: We accept ALL clients into our programs, with the exception of Abusive, Violent Offenders and Non Ambulatory Clients since we currently do not have the capacity to work with them.



    ​Assessments are Conducted on Tuesdays or Wednesday ONLY during this time our staff member will ask a series of questions and gather necessary documentation to get started with services. Staff members will also do a brief introduction of instructors so that the client will know who will becoming to see them. Assessment Reports are completed by the following Wednesday.

    The Program Coordinator will contact the client within 24-48 hours via telephone to set up the assessment appointment. If the client does not respond within the first 48 hours a letter of attempting to contact will be sent out. Then after the coordinator will make one last final attempt to contact the client before informing the regional center that the client is unavailable for the assessment. It will be then up to the regional center case manager to contact the client and inform them that we are trying to reach them.
    ​
    ​For Vocational Rehabilitation Clients assessments and appointments are done on Wednesdays only until further notice. Please click the question mark after the rules on how Regional Centers like things to be done. 

    New Client, Basic Information 

    Please provide us with the following information about the client: 
    In order to help us serve our clients better:
    You can upload the information or send them to ServiceRequest@LeBLancConsulting.net
    • Assessment POS
    • POS
    • Health Documents 
    • Psychological Evaluation 
    • School Documents 
    • Court or Legal Documents 
    • Other Documents you may have

    To upload the clients information click the following chose file tabs. 

    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    Max file size: 20MB
    If needed, here is a list of items we can work on with out clients. Please fill this out, to help us determine the clients needs. 
    ​Schedule of Client Goals/Instruction ​

    Case Manager Information 

    Thank you for the referral, here is a brief list to please tell your clients to have available at their assessment appointment to verify that we are speaking to the right person. (read list)

    Examples of what he or she might need:
    • ID (bring ONE of the following)
    • Driver's license
    • Hospital certificate of birth
    • State issued non-drivers' ID card
    • Marriage certificate with date of birth
    • US passport
    • Immigration or Naturalization certificate
    • Medicaid card
    • Proof of US Citizenship or Legal Residence for each person in household who wants services
    • Social Security card or number
    • Birth certificate (for ALL children)
    • Immunizations or shot records for all children
    • School information for all children
    • Most recent IEP from the school
    • Most recent Psychological and Behavioral Assessment
    • ​Court Documents (if pending Case or open CPS case)
    ​Again, thank you so much for the referral and your time. 
    We appreciate you referring your client to LeBlanc Consulting.
    ​Have a wonderful rest of your day!
    RC East Bay ILS Vendor # HB0991
    Service code 520

    RC East Bay Parenting Vendor # PB1516 
    Service Code 108

    RC East Bay SLS Vendor # HB1135
    Service Code 896
    
    San Andreas RC  ILS Vendor #HS1075
    San Andreas RC Service Code 520

    North Bay RC ILS Vendor#HN0451
    North Bay RC Service Code 520

    *RC= Regional Center
    *ILS= Independent Living Skills
    *SLS=Supportive Living Skills