Get the free Intake/Screening Form

Name: Fillable Online Intake/Screening Form Fax Email Print - pdfFiller
Brand: pdfFiller
Rating: 4.9 (56 reviews)

Get Form

Show details

Discount Counseling Network, Inc. Intake/Screening Firsthand you for choosing DCN to do your Substance Abuse Counseling sessions. Attached please find the Intake Screening Form for you to complete

We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign intakescreening form

Edit your intakescreening form form online

Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature

Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly

Email, fax, or share your intakescreening form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing intakescreening form online

Ease of Setup

pdfFiller User Ratings on G2

Ease of Use

pdfFiller User Ratings on G2

Use the instructions below to start using our professional PDF editor:

1

Create an account. Begin by choosing Start Free Trial and, if you are a new user, establish a profile.

2

Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.

3

Edit intakescreening form. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.

4

Get your file. Select the name of your file in the docs list and choose your preferred exporting method. You can download it as a PDF, save it in another format, send it by email, or transfer it to the cloud.

With pdfFiller, it's always easy to deal with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.

Learn more about security & compliance

How to fill out intakescreening form

01

Begin by providing your personal information such as name, date of birth, and contact details.

02

Answer all questions truthfully and accurately, especially those related to health history and current health conditions.

03

Provide details about any medications you are currently taking or any allergies you may have.

04

Complete all sections of the form thoroughly and double-check for any errors before submitting.

Who needs intakescreening form?

01

Individuals seeking medical services or treatment.

02

Healthcare providers or professionals conducting assessments or consultations.

03

Patients undergoing a new medical treatment or starting a new healthcare program.

Fill form : Try Risk Free

Rate the form

4.9

Satisfied

56 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

How do I edit intakescreening form in Chrome?

intakescreening form can be edited, filled out, and signed with the pdfFiller Google Chrome Extension. You can open the editor right from a Google search page with just one click. Fillable documents can be done on any web-connected device without leaving Chrome.

How can I edit intakescreening form on a smartphone?

You may do so effortlessly with pdfFiller's iOS and Android apps, which are available in the Apple Store and Google Play Store, respectively. You may also obtain the program from our website: https://edit-pdf-ios-android.pdffiller.com/. Open the application, sign in, and begin editing intakescreening form right away.

How do I edit intakescreening form on an iOS device?

Create, edit, and share intakescreening form from your iOS smartphone with the pdfFiller mobile app. Installing it from the Apple Store takes only a few seconds. You may take advantage of a free trial and select a subscription that meets your needs.

What is intakescreening form?

Intakescreening form is a document used to gather information about a person's background and current situation before providing them with services or resources.

Who is required to file intakescreening form?

Individuals seeking services or resources are typically required to file an intakescreening form.

How to fill out intakescreening form?

To fill out an intakescreening form, individuals usually need to provide personal information, answer questions about their needs and goals, and sign the form.

What is the purpose of intakescreening form?

The purpose of an intakescreening form is to assess an individual's situation and determine the most appropriate services or resources to help them.

What information must be reported on intakescreening form?

Information such as personal details, demographic information, living situation, support network, and specific needs must be reported on an intakescreening form.

Fill out your intakescreening form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now