Get the free ATAPs Client Consent Form Transition of Care from - nmml org
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Taps Client Consent Form: Transition of Care from Infinite Health Solutions
Dear Taps Client
You are currently receiving services the Access to Allied Psychological Services (TAPS) program
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How to fill out ataps client consent form
How to fill out an ATAPS client consent form:
01
Write your full name in the designated space on the form.
02
Provide your address, including the street name, city, state, and zip code.
03
Include your telephone number and email address if applicable.
04
Enter your date of birth in the specified format (e.g., DD/MM/YYYY).
05
Indicate your gender by selecting the appropriate option (e.g., male, female, other).
06
Specify your cultural background, ethnicity, and primary language.
07
If you have a preferred name or nickname, include it on the form.
08
If you are receiving services through an organization, provide the name of the organization.
09
Enter the name and contact details of your regular medical practitioner, if applicable.
10
Read the consent statement carefully and sign your name and date in the appropriate fields.
11
If you are under 18 years of age, have a parent or guardian also sign the form.
Who needs an ATAPS client consent form:
01
Individuals seeking mental health services through the ATAPS program.
02
Clients who wish to access specific funded mental health services.
03
Individuals who meet the eligibility criteria for the ATAPS program.
04
Clients who have been referred by a general practitioner or medical practitioner.
05
Individuals who are experiencing mental health issues and require professional support.
Note: It is important to consult with a healthcare professional or the specific ATAPS program guidelines for accurate and up-to-date information on filling out the client consent form and determining eligibility.
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