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THE LAKEWOOD GROUP, LLC Mental Health Services. 2237 Ridge Road Suite 101 Rockwell, Texas 750875161 (972) 7713969 Fax: (972) 7718258 www.lakewoodgroup.net Robert F. Meal, III, Ph.D. & Associates,
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Provide your employment history, starting with your most recent or current job. Include the names of the employers, job titles, dates of employment, and a brief description of your role and responsibilities.
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Fill out the medical history section by providing relevant information about your physical and mental health. Include any chronic conditions, allergies, medications, or surgeries you have had in the past.
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If there is a section for references, provide the names and contact information of individuals who can vouch for your character and qualifications. Make sure to ask for their consent before listing them as references.
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Note: The need for a confidential adult history may vary depending on the specific requirements and policies of different institutions or organizations.
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What is confidential adult history?
Confidential adult history is a document that contains sensitive information about an adult, such as medical history, criminal background, and personal details.
Who is required to file confidential adult history?
Adults who are applying for certain jobs or licenses that require a background check may be required to file a confidential adult history.
How to fill out confidential adult history?
Confidential adult history forms can usually be filled out online or on paper, and require specific details about the individual's past and present circumstances.
What is the purpose of confidential adult history?
The purpose of confidential adult history is to provide a comprehensive overview of an individual's background to help inform decisions related to employment, licensing, or other opportunities.
What information must be reported on confidential adult history?
Information that may need to be reported on a confidential adult history form includes education history, work experience, criminal record, and medical conditions.
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