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Administrative Office 2650 Olive Street Saint Louis, Missouri 63103 314-371-6500 CHILD INTAKE PACKET Welcome to Provident! Thank you for completing the necessary paperwork to begin services. Please
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How to fill out a child intake packet:

01
Begin by providing your child's personal information such as their full name, date of birth, and social security number if applicable.
02
Next, include the contact information for both the child and their primary guardian, such as the address, phone number, and email.
03
Fill out any medical history or allergies that the child may have. This could include information about chronic illnesses, medications, or any known medical conditions.
04
Include information about the child's educational background, including the name of their current school or daycare, grade level, and any special education or counseling services they may receive.
05
Give details about the child's emergency contacts. These should include names, phone numbers, and relationships to the child.
06
If applicable, include information about any legal guardianship or custody arrangements that the child may have.
07
Sign and date the intake packet, indicating that all the information provided is accurate to the best of your knowledge.

Who needs a child intake packet?

01
New students enrolling in a school or daycare facility often need to complete a child intake packet. This helps the institution gather necessary information about the child before their first day.
02
Foster or adoptive parents may also need to complete a child intake packet as part of the administrative process to officially welcome the child into their home.
03
Medical professionals or therapists may require a child intake packet to gather important information about a young patient before providing appropriate care or treatment.
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The Child Intake Packet is a set of forms and documents required to be completed when applying for child services or assistance.
Any individual or family seeking child services or assistance may be required to file the Child Intake Packet.
The Child Intake Packet can be filled out by completing the forms included in the packet and providing all necessary documentation requested.
The purpose of the Child Intake Packet is to gather information about the child and family in order to determine eligibility for services or assistance.
The Child Intake Packet typically requires information such as the child's name, age, address, medical history, and details about the family's income and household.
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