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Great Lakes Center
for Autism Treatment and Research
Intensive Treatment Screening Form
Great Lakes Center
for Autism Treatment and Research
9616 Portage Rd.
Portage, MI 49002
Phone: (269) 250-8200
Fax:
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What is it intake screening form?
The intake screening form is a document used to gather initial information about a person or organization seeking services.
Who is required to file it intake screening form?
Anyone seeking services or assistance may be required to fill out an intake screening form.
How to fill out it intake screening form?
To fill out the intake screening form, you must provide accurate information about yourself or your organization in the specified fields.
What is the purpose of it intake screening form?
The purpose of the intake screening form is to gather basic information to determine eligibility for services and assess needs.
What information must be reported on it intake screening form?
Information such as name, contact information, reason for seeking services, and any relevant background information may be required on the intake screening form.
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