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(336) 373-1402 Compeer Client Information Form Name: Date: Referred by: Primary Therapist: Title: (if other than referral source) Location/Agency: Location/Agency: Address: Address: Phone: Phone:
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How to fill out compeer client info form

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How to fill out the compeer client info form:

01
Start by obtaining a copy of the compeer client info form from the appropriate source, such as the compeer organization or website.
02
Begin filling out the form by providing your personal information, such as your full name, address, contact number, and email address. This information is essential for the compeer organization to establish contact with you.
03
If applicable, indicate any preferred methods of communication, such as phone, email, or in-person meetings.
04
Provide details about your background and interests. This can include information about your hobbies, skills, education, and employment status. These details assist the compeer organization in finding a suitable match for you.
05
Next, disclose information about your mental health or any specific disability you might have. Honesty is crucial in this section as it helps the compeer organization understand your needs and preferences better.
06
If you have any preferences regarding the age, gender, or background of your potential match, specify them in the corresponding section. Consider your comfort level and what you believe will be the most beneficial for your mental health support.
07
Some compeer client info forms may ask about your availability to meet with a companion. Indicate your preferred days, times, or frequency of interaction.
08
If there is an additional section for comments or any other relevant information, take this opportunity to include anything else you feel is important for the compeer organization to know about you.
09
Finally, review the form thoroughly to ensure all the information you have provided is accurate and complete. Make any necessary corrections before submitting it to the compeer organization.
10
Return the compeer client info form to the designated recipient, following the instructions provided by the organization.

Who needs the compeer client info form?

01
Individuals seeking mental health support or companionship can benefit from the compeer client info form. It is designed to gather relevant information about an individual's needs, interests, and preferences to find a suitable match with a compeer companion.
02
People experiencing mental health challenges or those who feel isolated and would like to connect with others can utilize the compeer client info form to receive support and companionship.
03
The form is typically required by compeer organizations to understand the individual's background, interests, and specific requirements, enabling them to pair clients with well-matched companions.
04
The compeer client info form is useful for both individuals looking to receive support and companionship and the compeer organizations themselves to streamline the matching process and create beneficial connections.
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The compeer client info form is a document used to gather and report information about a client to the Compeer organization.
Anyone who is a client of Compeer is required to file the client info form.
You can fill out the compeer client info form by providing all the necessary information requested on the form.
The purpose of the compeer client info form is to gather important information about the client in order to provide them with the appropriate services.
The compeer client info form may require information such as contact details, mental health history, and reasons for seeking support.
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