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Get the free Client Intake Form (Child) Date - Florence - iHope

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The iHope Christian Care & Counseling Center 1414 W. Evans St., Florence, SC 29501 (843) 7020323 www.ihopeflorence.comClient Intake FormDate ___This information is confidential and will not be shared
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01
Begin by gathering all necessary information such as child's name, date of birth, and contact information.
02
Record any relevant medical history or allergies that the child may have.
03
Ask about the child's school and any extracurricular activities they may be involved in.
04
Inquire about the reason for the child's visit and any specific concerns or goals.
05
Have the parent or legal guardian sign and date the form to confirm accuracy and consent.

Who needs client intake form child?

01
Childcare providers
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Schools
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Medical facilities
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Therapists or counselors
05
Legal guardians
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Client intake form child is a document used to gather important information about a child that is being taken in as a client by a legal or social services organization.
Any legal or social services organization that is taking in a child as a client is required to file a client intake form for the child.
To fill out a client intake form for a child, you must provide detailed information about the child's background, family situation, medical history, and any specific needs or concerns.
The purpose of a client intake form for a child is to ensure that the legal or social services organization has all the necessary information to provide the best possible care and support for the child.
Information that must be reported on a client intake form for a child includes the child's name, age, address, guardian information, medical history, any past or current legal issues, and any special needs or concerns.
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