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CLIENT INTAKE FORM Keri Silverstein, LCSW 4314 Oakum Blvd Suite 2K Houston, Texas 77006 (832) 9814828 info oasistherapyhelp.com Date of RST appointment: Please take your time in providing the following
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How to fill out client intake form

01
Begin by gathering all necessary information from the client, such as their name, contact details, and any relevant identification numbers.
02
Provide a clear and concise section for the client to enter their personal details, including their age, gender, and address.
03
Include specific sections for the client to provide information about their medical history, including any pre-existing conditions or allergies.
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Incorporate a section for the client to outline their current symptoms or concerns that they want addressed.
05
Have a designated area for the client to list any medications they are currently taking, including dosages and frequencies.
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Include a section that allows the client to provide any additional comments or information pertinent to their case.
07
Include a privacy statement or consent form that outlines how the collected information will be handled and protected.
08
Ensure the form is user-friendly and easy to navigate, with clear instructions for each section.
09
Clearly communicate to the client where and how to submit the completed intake form.
10
Regularly review and update the client intake form to reflect any changes in legal requirements or organizational policies.

Who needs client intake form?

01
Client intake forms are typically needed by a wide range of professionals and organizations, including:
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- Medical practitioners and healthcare providers, to gather essential information about patients before providing treatment.
03
- Law firms and attorneys, to collect relevant details about clients before taking up their legal cases.
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- Fitness centers and personal trainers, to assess clients' health conditions and create personalized exercise programs.
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- Social service agencies, to understand the needs and background of individuals seeking assistance.
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- Counseling or therapy practices, to gather information about clients' mental health and provide appropriate support.
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- Educational institutions, to gather necessary information about new students or applicants.
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- Real estate agencies, to collect details about potential buyers or tenants for property transactions.
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- Financial institutions, to gather important information about clients before providing financial advice or services.
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- Any organization that requires collecting specific information about individuals for various purposes.
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Client intake form is a document used to collect important information about a new client, including contact details, legal issues, and specific needs.
Law firms, medical offices, social service agencies, and other organizations that provide services to clients are required to file client intake forms.
Client intake forms can be filled out electronically or on paper, and typically require the client to provide personal information, details about their case or situation, and any relevant documents.
The purpose of client intake form is to gather necessary information in order to better serve the client, assess their needs, and determine the most appropriate course of action.
Client intake form may require information such as client's name, contact information, legal issues, financial status, and any relevant background information.
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