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Patient Information Patient Name: Last ___ First___ MI ___ DOB: Day ___ Month ___ Year ___Male or Female(please circle one)Is client a child? No ___ Yes___ (of yes, name, address and phone number
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Begin by downloading the cr-intake-admission-forms-2023pdf from the Cornerstone Recovery website.
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Fill out all the required fields on the form, including personal information, medical history, and insurance details.
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Individuals who are seeking admission to Cornerstone Recovery for substance abuse treatment.
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Family members or guardians of individuals who are unable to complete the forms themselves.
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cr-intake-admission-forms-pdf - cornerstone recovery is a PDF form used for intake and admission processes at Cornerstone Recovery.
Individuals seeking admission to Cornerstone Recovery are required to fill out and submit the cr-intake-admission-forms-pdf.
The form should be completed with accurate and truthful information about the individual's personal and medical history.
The purpose of the form is to gather necessary information for the intake and admission process at Cornerstone Recovery.
The form typically requires information on medical history, substance abuse history, personal details, and emergency contacts.
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