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DOME FORM# THC 05-11-09 STANDARDIZED NYC JAIL INTAKE /ASSESSMENT FORM Interview Date: / / Program Performing Intake: Notes: Interviewer’s Full Name: * Interviewer’s Work Title: Current Facility:
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How to fill out standardized NYC jail intake:

01
Start by carefully reading the instructions provided on the form. It is important to understand the information being requested and how to accurately fill it out.
02
Begin by providing your personal information, including your full name, date of birth, and address. Make sure to double-check the accuracy of this information before proceeding.
03
Next, fill in any other required personal details such as your social security number, phone number, and email address.
04
Proceed to answer the questions regarding your criminal history. Be honest and provide accurate information about any past convictions or pending charges.
05
Provide information about your medical history and any current medications you may be taking. This is crucial to ensure your health needs are addressed while in jail.
06
If applicable, fill out the section regarding your mental health history. This will help the jail staff provide appropriate support and care during your stay.
07
Provide details about your education, employment history, and any vocational skills you may have. This information can be beneficial for the jail administration to determine suitable work or educational programs for you.
08
Lastly, review the filled-out form to ensure all sections are completed accurately and completely. Sign and date the intake form as required before submitting it.

Who needs standardized NYC jail intake?

The standardized NYC jail intake is required for individuals who have been arrested and are being processed for admission into a New York City jail facility. This intake form helps gather important information about the individual, including personal details, criminal history, medical history, and other relevant information. It allows the jail administration to properly assess and address the needs of each inmate during their time in custody.
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Standardized NYC jail intake is a process that collects specific information from individuals who are entering the jail system in New York City. This standardized form helps to ensure consistency and accuracy in the intake process.
All individuals who enter the jail system in New York City are required to have a standardized NYC jail intake completed for them.
Standardized NYC jail intake forms can be filled out by trained personnel at the jail facility. The form requires providing relevant personal, medical, and legal information about the individual entering the jail system.
The purpose of standardized NYC jail intake is to gather essential information about individuals entering the jail system in New York City. This information helps in the proper identification, assessment, and provision of necessary services to the individual while in the jail system.
Standardized NYC jail intake requires reporting personal information such as name, date of birth, address, medical history, criminal record, and any specific needs or concerns the individual may have.
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