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Michelle “Shelly Cook, PCs, RATS Licensed Professional CounselorSupervisor Registered Play TherapistSupervisor 910 Greene Road, Bldg. 1 New Braunfels, TX 78130 shellycook32 hotmail.com 8306608515

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How to fill out minor client intake form

How to fill out a minor client intake form:

01

Start by entering the minor's personal information such as name, date of birth, and contact details.

02

Provide the details of the minor's parents or legal guardians, including their names, contact information, and relationship to the minor.

03

Include any relevant medical information about the minor, such as allergies or pre-existing conditions.

04

Specify any medications the minor is currently taking or any medical treatments they are undergoing.

05

Mention any psychological or emotional concerns that the minor may be experiencing.

06

Provide any additional information about the minor's educational background or special needs, if applicable.

07

Lastly, make sure to sign and date the form, indicating that all the information provided is accurate and complete.

Who needs a minor client intake form:

01

Therapists or counselors who work with minors may require a minor client intake form to gather essential information about the child or adolescent before starting any therapy sessions.

02

Medical professionals, such as pediatricians or specialists, may also use a minor client intake form to collect relevant medical history and current health information for young patients.

03

Educational institutions, particularly schools, may use a minor client intake form to gather information about a student's background, medical history, and any special educational needs.

Remember, it is essential to use the minor client intake form to ensure the safety, wellbeing, and appropriate care of the minor in question.

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What is minor client intake form?

Minor client intake form is a document used to collect information about minor clients, such as their personal details, medical history, and legal guardians.

Who is required to file minor client intake form?

Healthcare providers and legal professionals are required to file minor client intake form when providing services to minor clients.

How to fill out minor client intake form?

Minor client intake form can be filled out by providing accurate and detailed information about the minor client, including their name, date of birth, medical history, and contact information.

What is the purpose of minor client intake form?

The purpose of minor client intake form is to ensure that healthcare providers and legal professionals have essential information about minor clients to provide appropriate services and comply with legal requirements.

What information must be reported on minor client intake form?

Information that must be reported on minor client intake form includes the minor client's name, date of birth, contact information, medical history, legal guardians' details, and any relevant legal documents.

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