Get Inclusion Intake Form - Snohomish County - Co Snohomish Wa

Completing the Inclusion Intake Form is essential for ensuring that all participants receive the appropriate support in programs offered by Snohomish County Parks and Recreation. This guide provides a clear and user-friendly approach to filling out the form online, ensuring your information is accurately submitted.

Follow the steps to successfully complete the Inclusion Intake Form.

1. Press the ‘Get Form’ button to obtain the Inclusion Intake Form and open it in your selected editor.
2. Begin by entering the participant's name, date, home address, city, and zip code in the designated fields.
3. Fill in the participant's home phone number, cell number, birth date, and age. Specify the participant's gender and household situation by selecting from the options provided.
4. Provide the name and address of the parent, spouse, group home, or support provider. If this address differs from the participant's, please make sure to indicate that.
5. List contact information for the caseworker if applicable, including their name and phone number.
6. Indicate whether the participant will bring an attendant or care provider during program hours, and provide any necessary explanations.
7. Complete the emergency contact section by providing the names, relationships, and phone numbers of two contacts who are different from the ones listed earlier.
8. Fill out the transportation information for the participant.
9. In the health information section, specify any known allergies, disabilities, and if the participant requires medication during program hours.
10. Complete the living skills section by checking the applicable communication, feeding, mobility, diet, and toileting skills.
11. Mention any activity limitations, adaptive equipment needs, and list any foods the participant should avoid.
12. Provide details about the participant's interests, special talents, favorite foods, collections, and preferred leisure activities.
13. Fill out the social skills section by checking the relevant boxes regarding cooperation, participation, interactions, and social preferences.
14. In the adaptive skills section, outline any behaviors staff should be aware of, as well as triggers and recommended interventions.
15. Finally, review all entries for accuracy. Once completed, save your changes, and then choose to download, print, or share the form as necessary.

Complete the Inclusion Intake Form online today to ensure a positive experience in Snohomish County Parks and Recreation programs.