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Beam Anxiety & Trauma Therapy 100 Center view Drive, Suite 201, Vestavia Hills, Alabama 35216Phone: 2058075372, Fax: 2054138789 http://therapistsbirmingham.com ADOLESCENT INTAKE FORMTodays Date: Name:
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Child intake to send is a form used to report information about a child who is receiving services.
Child intake to send must be filed by the agency or individual providing services to the child.
Child intake to send can be filled out online or on paper, providing information about the child's demographics, services received, and any concerns or observations.
The purpose of child intake to send is to ensure that accurate information about the child's services and needs is documented and shared with relevant parties.
Information such as the child's name, age, address, services received, any identified concerns, and contact information for the provider must be reported on child intake to send.
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