Form preview

Get the free Brief Intake-Assessment - New York State Department of Health - health ny

Get Form
Brief Intake Assessment CLIENT ID # Intake Date Referred by: Referral Date (Date Referred to Case Management Program) Last Name First Name M.I. Does client prefer to be referred to by any other name?
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign brief intake-assessment - new

Edit
Edit your brief intake-assessment - new form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your brief intake-assessment - new form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit brief intake-assessment - new online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use the professional PDF editor, follow these steps below:
1
Log in to your account. Start Free Trial and register a profile if you don't have one.
2
Upload a document. Select Add New on your Dashboard and transfer a file into the system in one of the following ways: by uploading it from your device or importing from the cloud, web, or internal mail. Then, click Start editing.
3
Edit brief intake-assessment - new. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Save your file. Choose it from the list of records. Then, shift the pointer to the right toolbar and select one of the several exporting methods: save it in multiple formats, download it as a PDF, email it, or save it to the cloud.
pdfFiller makes dealing with documents a breeze. Create an account to find out!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out brief intake-assessment - new

Illustration

How to fill out brief intake-assessment - new:

01
Start by gathering all relevant information about the individual or situation that needs to be assessed. This may include personal details, medical history, or any other relevant background information.
02
Review the specific guidelines or requirements for the intake-assessment. This will ensure that you include all necessary information and answer any specific questions or prompts provided.
03
Begin by providing general information about the individual or situation, such as their name, age, and contact information. This will help identify the assessment and connect it to the correct individual or situation.
04
Proceed to answer any specific questions or prompts provided in the assessment. These may include questions about the individual's current state or situation, their goals, any challenges they are facing, or any previous experiences or treatments they have undergone.
05
Make sure to answer each question or prompt thoroughly and accurately. Use clear and concise language to provide a complete picture of the individual or situation being assessed.
06
If there are any additional sections or areas within the assessment, be sure to provide the required information for each. This may include sections on mental health, physical health, family history, or any other relevant factors.
07
Review all the answers and make any necessary edits or revisions before finalizing the intake-assessment. Double-check for any missing information or any inconsistencies in the responses.
08
Finally, sign and date the completed intake-assessment to indicate that it has been filled out and reviewed.

Who needs brief intake-assessment - new:

01
Individuals seeking mental health services: A brief intake-assessment is commonly used in mental health settings to gather initial information about individuals seeking therapy or counseling services.
02
Healthcare providers or clinics: Healthcare providers may use a brief intake-assessment to collect essential information about new patients, helping them understand the individual's medical history and current health status.
03
Social service organizations: Social service organizations often require brief intake-assessments to better understand the needs and circumstances of individuals seeking their assistance. This helps them determine the most appropriate support or resources to provide.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
50 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

Brief intake-assessment - new is a simplified form used to gather basic information about a new client or case.
Attorneys and legal professionals are required to file brief intake-assessment - new for each new client or case.
Brief intake-assessment - new can be filled out online or in person by providing the requested information about the client or case.
The purpose of brief intake-assessment - new is to collect relevant details about the client or case to determine the next steps in the legal process.
Brief intake-assessment - new typically requires basic personal information about the client, case details, and any relevant deadlines.
It's easy to use pdfFiller's Gmail add-on to make and edit your brief intake-assessment - new and any other documents you get right in your email. You can also eSign them. Take a look at the Google Workspace Marketplace and get pdfFiller for Gmail. Get rid of the time-consuming steps and easily manage your documents and eSignatures with the help of an app.
You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing brief intake-assessment - new right away.
Use the pdfFiller mobile app to create, edit, and share brief intake-assessment - new from your iOS device. Install it from the Apple Store in seconds. You can benefit from a free trial and choose a subscription that suits your needs.
Fill out your brief intake-assessment - new online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.