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GINGER ARNOLD, PhD/ INTEGRATED NEUROPSYCHOLOGY, PC 445 Union Blvd, Ste 301, Lakewood, CO 80228 30752 South view Dr, Ste 130 Evergreen, CO 80439PATIENT UNINSURED/RESPONSIBLE PERSON INPATIENT NAME (if

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How to fill out intake forms - core

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Intake forms - core is a standardized form used to collect basic information about a client or patient before their appointment or treatment.

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Intake forms - core usually require information such as name, date of birth, contact information, insurance details, medical history, current medications, and reason for seeking treatment.

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