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Get the free --VanDall Intake Packet--

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Donna Randall, LCSW, LEFT, Inc. 3223 E. 31st St., Suite 201 74105Tulsa, OK 741052444 749(918) 7496935 (PLEASE PRINT) Personal Information Name Home Phone Last Name First Name Initial Address Soc.
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How to fill out a Vandall Intake Packet:

01
Start by carefully reading through the entire packet to familiarize yourself with the information and requirements.
02
Begin by filling out your personal details such as your name, address, phone number, and date of birth in the designated sections.
03
Provide accurate information regarding your medical history, including any previous diagnoses, medications, or treatments you have received.
04
Answer all questions regarding your symptoms and the reason for seeking treatment or evaluation. Be as detailed and thorough as possible.
05
If applicable, provide information about any previous legal or court involvement related to your condition.
06
Sign and date the necessary sections to confirm that the information you have provided is accurate to the best of your knowledge.
07
If there are any sections or questions that you are unsure about or do not apply to you, it is important to seek clarification from the appropriate parties before submitting the packet.

Who needs a Vandall Intake Packet:

01
Individuals who are seeking mental health treatment or evaluation from Vandall Mental Health Clinic.
02
Patients referred to Vandall Mental Health Clinic by healthcare providers or legal professionals.
03
Individuals who are required to complete the Vandall Intake Packet as part of a court order or legal process related to their mental health.
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Vandall intake packet is a set of forms and documents used to collect information about a new intake in the Vandall system.
All new intakes in the Vandall system are required to file the intake packet.
Vandall intake packet can be filled out by providing accurate information in the designated fields of the forms included.
The purpose of vandall intake packet is to gather necessary information about new intakes in order to properly document them in the Vandall system.
Information such as personal details, background history, reasons for intake, and any relevant documents must be reported on the vandall intake packet.
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