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Initial Client Information Child (age 18) Crossroads Counseling, LLC 3830 Packard Rd, Suite 160, Ann Arbor, MI 48108; Tel/Fax: 734.929.9703Childs name: Date: Address: (Street)Date of birth: / / (City)(State)(Zip)Therapist:
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How to fill out form initial client info

01
Start by gathering all the necessary information such as client's name, address, contact details, and any relevant identification or reference numbers.
02
Open the form and locate the first section for personal information. Fill in the client's full name, date of birth, and gender.
03
Move on to the contact information section. Enter the client's current residential address, phone number, and email address if applicable.
04
If the form requires employment details, provide the client's occupation, employer's name, and work contact information.
05
Proceed to input any additional client details that may be required, such as marital status, dependents, or medical conditions.
06
Check if there are any sections for financial information. If so, enter the client's income, assets, liabilities, and banking details.
07
Review the form to ensure all required fields are completed accurately. Double-check for any errors or missing information.
08
Once you are satisfied with the form, sign and date it if necessary. Make a copy for your records if needed.
09
Submit the completed form according to the specified instructions, whether it's through mail, in-person submission, or online submission.
10
Keep a record of the form and its submission for future reference or follow-up if required.

Who needs form initial client info?

01
Form initial client info is needed by various organizations, institutions, or professionals who deal with clients or customers. This may include banks, insurance companies, healthcare providers, legal firms, government agencies, educational institutions, and many more.
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Form initial client info is a document used to collect basic information about a new client or customer.
Any individual or entity that establishes a new business relationship with a client or customer is required to file form initial client info.
Form initial client info can be filled out by providing the requested information about the client or customer, such as name, contact information, and purpose of the business relationship.
The purpose of form initial client info is to gather essential information about a new client or customer to ensure compliance with regulations and prevent money laundering or criminal activities.
Information such as client's name, address, contact details, nature of business relationship, and identification documents may need to be reported on form initial client info.
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