Get Intake Form - Denali Healthcare

Completing the Intake Form for Denali Healthcare is a vital step for individuals seeking therapy. This guide provides clear instructions on how to fill out the form effectively, ensuring that all necessary information is included for a thorough review.

Follow the steps to complete the Intake Form correctly.

1. Click the ‘Get Form’ button to access the Intake Form, which can be opened in your preferred document editor.
2. Begin by filling out the personal data form. Provide your name, date of birth, and contact information accurately, as this information is essential for your application.
3. Complete the summary of chemical use section, detailing any substance use history, including prescription medications and illicit substances.
4. Fill out the releases of information section, permitting Denali Healthcare to communicate with your health care providers. This may include physicians and substance abuse treatment centers.
5. Answer the screening questionnaire thoroughly. This section requires honest responses to questions regarding your treatment goals, current substance use, and any prior prescriptions.
6. Review the program requirements and patient responsibilities carefully. Initial next to each statement to indicate your understanding and agreement.
7. If relevant, provide information about any mental health treatment you are currently receiving and list your support systems for recovery.
8. Finally, review your completed form for any missing information or errors. Once satisfied, save your changes, and download, print, or share the form as necessary.

Take the next step toward your health by filling out the Intake Form online today.