Get Child Application - Newpoint Behavioral Health Care

Filling out the Child Application for NewPoint Behavioral Health Care is an essential step in accessing necessary behavioral health services for your child. This guide provides a comprehensive overview of how to complete the application accurately and efficiently.

Follow the steps to fill out the application accurately.

1. Press the ‘Get Form’ button to obtain the Child Application and open it in your preferred editor.
2. Complete the client number section by checking the appropriate service needed such as outpatient, partial care, screening, or case management, and enter the corresponding fee.
3. Fill in the intake date, staff information, and any updates regarding the client’s information if applicable.
4. Provide your child's date of birth, full name, and social security number in the designated fields.
5. Enter your child's address, phone number, and emergency contact details, including gender and race/ethnicity.
6. List the parent's occupation, place of employment, and contact number. Additionally, indicate the annual household income and the number of persons depending on that income.
7. Input the name of the school your child attends and their current grade level.
8. Provide information about people living in your home, including their names, relationships, birthdates, occupations, and levels of education.
9. Specify the name and address of your family doctor and state how you were referred to the center.
10. Describe the problem that brought your child to the center and the duration of this issue.
11. Answer relevant questions regarding your child's educational history, including past classifications and evaluations.
12. Detail any health issues, medications currently taken by your child, and any significant prenatal or birth complications.
13. Provide insights regarding your child's social interactions, their characteristics, and your hopes for assistance from the center.
14. State if your child has previously attended the center or received other mental health or substance abuse services.
15. Conclude by discussing any additional pertinent information you believe the center should know.
16. Complete the insurance information section, including the health insurance provider, contact details, and insurance ID number.
17. Sign the application, acknowledging receipt of 'Client Rights' and 'How to Report a Complaint'.
18. Finally, ensure to save your changes, download or print the completed application, and share it as needed.

Complete your Child Application online today to ensure your child receives the necessary support.