Get the free INTAKE FORM - Blake Psychology

Blake Psychology 6500 Trans-Canada Hwy, Suite 400 Pointe-Claire, QC H9R 0A5 T: 514-319-1744 F: 1-877-417-4420 www.blakepsychology.com Date file opened: Chart #: INTAKE FORM First name: Last name:

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Intake form is a document used to collect essential information about a client or patient before their appointment or treatment.

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All clients or patients are required to file an intake form before their appointment or treatment.

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