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This form is designed for the intake and assessment of clients seeking Animal Assisted Recreational Therapy at Bay Creek Farm. It collects essential client information, preferences for therapy focus, and risks associated with the therapy to ensure tailored and safe therapeutic services.
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How to fill out initial intake and assessment

01
Gather all necessary personal information, including contact details and demographic information.
02
Collect insurance information, if applicable.
03
Complete medical history including any current medications and past treatments.
04
Fill out the assessment questions related to mental health, substance use, or other relevant issues.
05
Provide a clear description of the reason for seeking help or assessment.
06
Review the form for completeness before submission.

Who needs initial intake and assessment?

01
Individuals seeking mental health treatment.
02
Clients needing rehabilitation services.
03
Patients referred by healthcare professionals.
04
Anyone requiring a psychological evaluation.
05
Persons involved in legal or custody matters where assessment is necessary.
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Initial intake and assessment is a process used to gather information about an individual or organization in order to evaluate their needs, eligibility, and suitability for a particular program or service.
Individuals or organizations seeking access to specific programs, services, or funding opportunities are typically required to file initial intake and assessment.
To fill out initial intake and assessment, individuals should provide accurate and complete information as requested in the form, which may include personal details, program-specific questions, and supporting documentation.
The purpose of initial intake and assessment is to identify the needs and circumstances of the applicant, to determine eligibility for services, and to establish a baseline for providing support or resources.
Information required on initial intake and assessment may include personal identification details, contact information, demographic data, income details, and specifics about the requested services or programs.
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