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PRESCHOOL INTAKE Identification Information Child's Name BirthDate Sex If the child does not use his/her legal first name, please list the name he/she/ will be using. Family History Marital Status
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02
Obtain a copy of the intake form.
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Read the instructions and understand the purpose of the form.
04
Collect all the necessary information, such as personal details, medical history, and contact information.
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Start filling out the form by entering your name, date of birth, and other identifying information.
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Provide accurate and relevant answers to the questions asked on the form.
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Double-check your responses for any errors or missing information.
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If there are any sections or questions that you are unsure about, seek clarification from the provider or contact person.
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Once you have completed filling out the form, review it one last time to ensure everything is accurate and complete.
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Submit the filled-out intake form to the appropriate recipient or follow the specified submission process.
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