CA Goodfellow Occupational Therapy Client Intake Packet 2017-2025 free printable template
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2505 W. Shaw Ave., Bldg. A Fresno, CA 93711 P: 5592289100 × 2 F:5594328055 E: Going therapy. Combat of Intake: Client Information Name:Date of Birth:Address:Sex: M or City/Zip code:Home Phone: ()Cell
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How to fill out CA Goodfellow Occupational formrapy Client Intake
How to fill out CA Goodfellow Occupational Therapy Client Intake Packet
01
Begin by reading through the entire packet to understand the information required.
02
Fill out your personal information in the designated section, including name, address, and contact details.
03
Provide your date of birth and any relevant identification numbers as requested.
04
Complete the medical history section by listing any prior diagnoses, treatments, and medications.
05
Describe your current occupational health concerns and how they affect your daily life.
06
Sign where indicated to acknowledge that the information you provided is accurate.
07
Review the completed packet for any missing information before submission.
Who needs CA Goodfellow Occupational Therapy Client Intake Packet?
01
Individuals seeking occupational therapy services through CA Goodfellow.
02
Patients who require an assessment of their occupational health needs.
03
Clients who wish to communicate their medical history and specific therapy goals.
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What is CA Goodfellow Occupational Therapy Client Intake Packet?
The CA Goodfellow Occupational Therapy Client Intake Packet is a set of forms and documents that new clients fill out to provide important information about their health, history, and needs to ensure proper assessment and treatment in occupational therapy.
Who is required to file CA Goodfellow Occupational Therapy Client Intake Packet?
All new clients seeking occupational therapy services at CA Goodfellow are required to file the Occupational Therapy Client Intake Packet.
How to fill out CA Goodfellow Occupational Therapy Client Intake Packet?
To fill out the CA Goodfellow Occupational Therapy Client Intake Packet, clients should carefully read the instructions provided, complete each section with accurate and detailed information, and submit the packet to the occupational therapy office prior to their first appointment.
What is the purpose of CA Goodfellow Occupational Therapy Client Intake Packet?
The purpose of the CA Goodfellow Occupational Therapy Client Intake Packet is to gather comprehensive information about the client's medical history, occupational needs, and therapy goals, which assists therapists in developing appropriate treatment plans.
What information must be reported on CA Goodfellow Occupational Therapy Client Intake Packet?
The information that must be reported on the CA Goodfellow Occupational Therapy Client Intake Packet includes personal details, medical history, current medications, previous therapies, reasons for seeking therapy, and any specific goals or concerns the client has.
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