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Harmony House Maternity Group Home Resident Intake Form Are there any emotional problems in the family? Referred by: Person making referral: Is there any history of drug/alcohol abuse? Yes No Date:

How to fill out hh teen intake form

Steps to fill out the hh teen intake form:

1. Start by obtaining the hh teen intake form. It can usually be found online or at the relevant office or organization.
2. Read through the form carefully to understand the information and sections it requires. Make sure you have all the necessary documents and information readily available before starting.
3. Begin by providing personal information such as your full name, date of birth, address, contact details, and any other requested identification information.
4. If applicable, provide information about your parents or legal guardians, including their names, contact information, and relationship to you.
5. Fill in details about your school, such as the name, address, phone number, and any relevant information about your education or extracurricular activities.
6. Provide information about your current living arrangements, including whether you live with your parents, other relatives, or in foster care. If applicable, provide details about the person or agency responsible for your care.
7. Answer questions about your health and medical history. This may include information about any allergies, medications, ongoing treatments, or conditions you have. Be honest and thorough in your responses.
8. If required, provide information about your immigration status, including any documentation or visa details.
9. Answer questions about your involvement with the legal system, if applicable. This may include any past or current court cases, probation, or any other legal matters.
10. Review the completed form to ensure all sections have been accurately filled out. Double-check for any missing or incomplete information.

Who needs hh teen intake form?

The hh teen intake form is typically required for teenagers who are seeking assistance, support, or services from a specific organization, agency, or program. It is designed to gather essential information about the teen's personal, educational, and medical background to assess their needs and provide appropriate assistance. The specific requirements for who needs this form may vary depending on the organization or program's criteria. It is best to check with the relevant authority for clarification.

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