This document outlines a case plan for an individual with goals and steps. The plan provides targeted case management to assist in accessing medical, nutritional, social, educational, transportation, housing and other needed services. Goals are listed as completed with steps specifying who will do what, when, where and timeframe to work towards fulfilling the goals. The multi-page form allows for specifying multiple goals and associated steps.

1. Georgia Department of Human Resources
Social Services
CASE PLAN: GOALS / STEPS
Name
Targeted Case Management will be received to assist individuals in gaining access to and managing needed services
Check all that apply
Medical Nutritional Social
Educational Transportation Housing
Other (Specify)
Goal: Completed
Steps: (SPECIFY WHO WILL DO WHAT, WHEN, WHERE AND TIME FRAME)
1.
2.
3.
4.
CPS_388 Goals and Steps (Revised 09/06) Page 1 of 2

2. Goal: Completed
Steps: (SPECIFY WHO WILL DO WHAT, WHEN, WHERE AND TIME FRAME)
1.
2.
3.
4.
Goal: Completed
Steps: (SPECIFY WHO WILL DO WHAT, WHEN, WHERE AND TIME FRAME)
1.
2.
3.
4.
CPS_388 Goals and Steps (Revised 09/06) Page 2 of 2