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Elizabeth Codes, D.O. 1616 E 19th Street, Suite 305 Edmond, OK 73013 Adult Personal History Inventory and Assessment In order to assist your psychiatrist in understanding you and the issues you are

How to fill out cordes adult intakedoc

How to fill out cordes adult intakedoc:

1. Begin by filling out all personal information sections, including your name, address, phone number, and date of birth.
2. Next, provide information about your medical history, including any ongoing medical conditions, allergies, and medications you are currently taking.
3. Fill in the details of your mental health history, including any mental health diagnoses, previous treatments, and any current symptoms or concerns.
4. Provide information about your substance use history, including any past or current substance abuse issues, treatments, or concerns.
5. If applicable, provide information about your legal history, including any criminal charges or convictions.
6. Fill out the section related to your family history, including any significant illnesses or mental health conditions that run in your family.
7. Answer any additional questions or provide any necessary information requested on the form.
8. Review all the information you have provided to ensure its accuracy before submitting the form.

Who needs cordes adult intakedoc:

1. Individuals who are seeking mental health treatment or services.
2. Those who are new patients of Cordes Mental Health Clinic.
3. Those who are in need of a comprehensive assessment of their mental health and substance use history.

Note: It is important to consult with a mental health professional or the specific healthcare provider for specific requirements and instructions regarding filling out Cordes adult intakedoc.

For pdfFiller’s FAQs

What is cordes adult intakedoc?

Cordes adult intakedoc is a document used to collect information about adults entering a specific program or facility.

Who is required to file cordes adult intakedoc?

Staff or intake personnel responsible for admitting adults into the program or facility are required to fill out cordes adult intakedoc.

How to fill out cordes adult intakedoc?

Cordes adult intakedoc can be filled out by entering accurate information about the adult's personal details, medical history, and reason for intake.

What is the purpose of cordes adult intakedoc?

The purpose of cordes adult intakedoc is to gather necessary information to properly assess and provide care for the adult entering the program or facility.

What information must be reported on cordes adult intakedoc?

Information such as personal details, medical history, emergency contacts, and reason for intake must be reported on cordes adult intakedoc.

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