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Rebekah Over, LCSW214.616.5082Individual/Family Counseling Intake Form General Information:Date: Client Legal Name: Phone: Client Preferred Name: Alternate Phone: Guardian Name (if client is under
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How to fill out drc individual-family intake form

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How to fill out drc individual-family intake form

01
To fill out the DRC individual-family intake form, follow these steps:
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Begin by entering your personal information such as name, address, phone number, and email.
03
Provide details about your household, including the number of family members and their ages.
04
Indicate any specific needs or disabilities within your family, if applicable.
05
Answer questions related to your current living situation, such as whether you are residing in a temporary shelter or a rental property.
06
Provide information about any damages or losses you have incurred as a result of a disaster.
07
Specify whether you are seeking assistance with temporary housing, home repairs, or other disaster-related needs.
08
Include any additional information that may be relevant to your situation.
09
Review the form for accuracy and completeness before submitting it.
10
Submit the filled-out intake form to the designated DRC office or agency.
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Please note that the exact steps and requirements may vary depending on the specific DRC and disaster situation. It is advisable to follow any accompanying instructions or guidelines provided by the respective DRC.

Who needs drc individual-family intake form?

01
The DRC individual-family intake form is designed for individuals or families who have been affected by a disaster and require assistance. This form is typically used to identify the needs and gather relevant information from those seeking disaster recovery services. Whether you have experienced property damage, temporary displacement, or other adverse effects due to a disaster, you may need to fill out this intake form to access available resources and support from the DRC.
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The DRC Individual-Family Intake Form is a document used to collect personal and financial information from individuals and families for assessment and service eligibility purposes.
Individuals and families seeking assistance or services from the DRC are required to file the intake form.
To fill out the DRC Individual-Family Intake Form, individuals should provide accurate personal information, financial details, and any required documentation as instructed on the form.
The purpose of the DRC Individual-Family Intake Form is to gather necessary information for evaluating eligibility for various programs and services offered by the DRC.
Information that must be reported includes personal details such as name, address, contact information, income, family size, and specific needs or services requested.
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