Get Cerebral Palsy Association In Alberta Client Intake Form

This guide provides clear, step-by-step instructions for completing the Cerebral Palsy Association In Alberta Client Intake Form online. It is designed to assist users in providing necessary information accurately and efficiently, ensuring seamless program planning and support.

Follow the steps to complete the Client Intake Form with ease.

1. Press the ‘Get Form’ button to access and open the Client Intake Form online. Ensure you have a stable internet connection for a smooth experience.
2. Begin by filling in the client’s name and the application date at the top of the form. This helps CPAA to identify the individual needing assistance.
3. In the Client Profile section, select the client's gender and marital status. Provide the date of birth in the specified format (MM/DD/YYYY). Fill in the client's address details, along with home and cell phone numbers and email address.
4. Complete the Current Living Arrangement section by selecting one of the provided options that best describes the client's living situation. Also, include the name of the service provider or agency, along with contact details.
5. Move to the Parent/Guardian/Trustee Information section, and fill in the required contact details of the person responsible for the client.
6. In the Emergency Contact section, provide the details of another individual who can be contacted in case of emergencies.
7. Next, fill out the Client Disability and Medical Information section. Detail the primary and secondary disabilities, any medical conditions, allergies, and contact information for healthcare providers.
8. Indicate any technical aids the client may require and provide relevant details regarding any seizure history.
9. Include any additional background information that may help CPAA staff in providing care, along with preferences on personal assistance levels needed for various tasks.
10. Conclude by signing and dating the form, ensuring all information is accurate and up-to-date.
11. Save the changes made to the form, then choose to download, print, or share the completed document as necessary.

Complete the Client Intake Form online today to ensure the best support and services from the Cerebral Palsy Association in Alberta.