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PO Box 608 3000 N Rockwell Ave Bethany, OK 73008 (405) 7922401 (405) 7922405 Fax www.dailylivingcenters.org PARTICIPANTS INTAKE INFORMATION SHEET FOR CENTER USE ONLY DNR YES NO NAME: Initial Date/Time:
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Start by providing the necessary forms and documents to the participant.
02
Clearly explain the purpose and importance of the intake information.
03
Instruct the participant to fill out all the required fields and provide accurate information.
04
Provide guidelines or examples, if available, to help the participant fill out the information correctly.
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Ensure that the participant understands any terms or questions they may encounter.
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Review the filled intake information with the participant to address any concerns or errors.
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Keep the participant's intake information secure and confidential according to any applicable privacy laws and policies.

Who needs participant s intake information?

01
Organizations or institutions providing services or programs that require participant information.
02
Medical clinics, hospitals, or healthcare providers for patient intake and medical history.
03
Educational institutions for student enrollment and registration purposes.
04
Research institutes or universities conducting research that involves participant data.
05
Employers or HR departments for employee onboarding and information gathering.
06
Legal or law enforcement agencies as part of legal procedures or investigations.
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Participant's intake information is a form that contains details about a participant's background, demographics, and goals.
The organization or institution that is overseeing the participant's program is typically responsible for filing the intake information.
Participant's intake information can be filled out by using a paper form or an online portal provided by the organization. The participant or their guardian may need to provide personal details and answer questions about their goals and expectations.
The purpose of participant's intake information is to gather important details about the participant in order to provide customized support and services.
Participant's intake information may include personal details such as name, age, address, contact information, educational background, employment history, health information, and goals for the program.
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