Get The Papillion Center Child And Adolescent Registration 2015-2025

Filling out the The Papillion Center Child And Adolescent Registration form online is an important step in ensuring that your child receives the best possible care. This guide will walk you through each section of the form, providing detailed instructions to help you complete it accurately and efficiently.

Follow the steps to accurately complete the registration form.

1. Click 'Get Form' button to obtain the form and open it for completion.
2. Begin by providing information about the child. Fill in the client's name (last, first, middle, and nickname), sex, birth date, age, weight, height, eye color, hair color, and race as applicable.
3. Next, provide information for Parent/Guardian #1. Include their name, custodial status, relationship to the client, address, home phone, cell phone, email address, and occupation. Indicate if they consent to text or email communications.
4. Repeat the process for Parent/Guardian #2, detailing their information similarly. If applicable, include a copy of the permanent parenting plan.
5. For emergency contacts, enter the name, relationship, and phone number of the person to notify.
6. Complete the sections regarding client history, including previous counseling, reasons for visiting, problem persistence, and desired outcomes.
7. Provide the medical history, noting the most recent physical exam date, any known allergies, and any past or present illnesses or conditions.
8. Fill out family history, including details about custodial relationships, sibling information, and any history of child abuse if applicable.
9. In the developmental history section, answer questions about pregnancy and delivery, any substances used at the time of conception, and developmental milestones.
10. Detail the child’s current schooling situation, including the school name, grade, teacher, any IEP or Section 504 plans, and main difficulties at school, home, and with peers.
11. At the end of the form, review all entered information for accuracy before finalizing the form.
12. Once completed, save your changes and choose whether to download or share the form as needed.

Complete the The Papillion Center Child And Adolescent Registration online today to ensure your child receives the necessary support.