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Naval Medical Center Portsmouth Directorate of Mental Health Child & Adolescent Psychiatry Intake Form 620 John Paul Jones Circle, Portsmouth, VA 23708 Phone (757) 9535269 Fax (757) 9536907 Dear Parent/Guardian,
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How to fill out bchildb psychiatry intake bformb

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How to fill out child psychiatry intake form:

01
Start by carefully reading through the instructions and questions on the form. Take note of any specific information or documents that may be required.
02
Begin filling out the personal information section. This may include the child's name, date of birth, address, and contact information.
03
Move on to the medical history section. Provide details about any past or present medical conditions, medications, or allergies the child may have. Include information about any previous mental health diagnoses or treatments.
04
Next, fill out the section related to the child's psychiatric history. This may entail providing information about any past or current mental health concerns, behavioral issues, or traumatic experiences.
05
If applicable, answer any questions about the child's educational background, including school information, any learning disabilities or special education services received, and any recent academic or behavioral difficulties.
06
If the form includes a section on family history, provide relevant information about any mental health conditions or diagnoses that run in the family.
07
Answer any additional questions on the form related to the child's social functioning, relationships, and any other relevant information.
08
Finally, review the completed form to ensure all questions have been answered accurately and completely. Make any necessary corrections or additions if needed.

Who needs child psychiatry intake form?

01
Children who are seeking or receiving psychiatric evaluation or treatment.
02
Parents or legal guardians of a child who may be experiencing mental health concerns.
03
Healthcare providers or mental health professionals involved in the child's care, including psychiatrists, psychologists, therapists, or counselors.
04
Schools or educational institutions that require comprehensive information about a child's mental health history or needs.
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