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GENERAL SERVICES INTAKE UNDER 18Date: How did you learn about our services? Person completing Form: What service are you interested in?: CLIENT INFORMATION:Name: D.O.B Age Gender:MFOtherAddress: City:

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How to fill out general intake under 18

01

Start by gathering all the necessary personal information of the person who is under 18, such as their full name, date of birth, and contact details.

02

Proceed to fill in the demographic information, including their gender, race, and ethnicity.

03

Provide information about the person's legal guardian or parent, including their names, contact details, and relationship to the minor.

04

Fill out the medical history section, including any known allergies, past illnesses or surgeries, current medications, and any ongoing medical conditions.

05

Include information about the person's educational background, such as their current school, grade level, and any special education services they may require.

06

If applicable, provide details about the person's employment history, including any part-time jobs or internships they may have had.

07

Complete the emergency contact information section, including the names and phone numbers of individuals who should be contacted in case of an emergency.

08

Finally, review the completed form to ensure all information is accurate and complete before submitting it.

Who needs general intake under 18?

01

General intake under 18 is needed for individuals who are below the age of 18 and require healthcare, social services, or any other assistance that requires collecting comprehensive personal and background information. This form is typically used by medical facilities, social workers, counselors, and other service providers working with minors.

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What is general intake under 18?

General intake under 18 refers to the process of collecting information and data about individuals under the age of 18 for various purposes, such as assessments, evaluations, or service provisions, typically within a legal, educational, or healthcare context.

Who is required to file general intake under 18?

Generally, parents or legal guardians of the minor, as well as educational institutions or health care providers involved in the minor's care, are required to file general intake under 18.

How to fill out general intake under 18?

To fill out general intake under 18, one must complete the required forms with accurate information regarding the minor's personal details, demographics, and relevant background information as specified by the entity requesting the intake.

What is the purpose of general intake under 18?

The purpose of general intake under 18 is to gather necessary information to assess the needs of minors, facilitate their access to services, or ensure proper legal and educational support is provided.

What information must be reported on general intake under 18?

Information typically required includes the minor's name, date of birth, contact information, demographic details, and any relevant medical, educational, or legal history as requested by the organization conducting the intake.

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