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Psychological Services, Inc. 80 Garden Court, Monterey, CA 93940, OF: 8316478490 Teletherapy Informed Consent Form I, (clients name) hereby consent to engage in teletherapy with a Wellspring Psychological
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How to fill out child new client forms

How to fill out child new client forms
01
Begin by collecting the necessary information about the child, such as their full name, date of birth, and any medical or allergy information.
02
Ensure you have the contact details for both the child's parents or guardians, including their names, phone numbers, and addresses.
03
Include questions about the child's previous medical history, any medications they are taking, and any current medical conditions.
04
Provide space for the parents or guardians to list any specific instructions or special requirements for the child's care.
05
Designate a section to capture emergency contact information, including the names and phone numbers of individuals authorized to pick up the child in case of an emergency.
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Clearly explain any terms, conditions, or policies that the parents or guardians need to be aware of, such as payment terms or cancellation policies.
07
Include a signature section where the parents or guardians can sign and date the form, indicating their consent and agreement to the information provided.
08
Make sure that the form is easily readable, with clear instructions and sufficient space for the parents or guardians to fill in all the required information.
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Finally, securely store the completed forms, ensuring that they are easily accessible when needed.
Who needs child new client forms?
01
Child new client forms are typically needed by organizations or individuals providing services or care to children. This may include daycares, schools, hospitals, pediatric clinics, summer camps, or any other entity that interacts with and provides care for children.
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