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YOUTH IN CARE REQUIRED INTAKE INFORMATION Student Name: Caseworker/Manager Name: I certify that the student named in this document is in the legal custody of or receiving services from the Utah Department.

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When did these problems start? What was going on in your child's life at that time? Please describe any significant or stressful life events that your child has been experiencing: No Yes If yes, please describe A recent move or change in school? Abuse or neglect?

What was going on in your child's life at that time? Please describe any significant or stressful life events that your child has been experiencing: No Yes If yes, please describe A recent move or change in school? Abuse or neglect?

What Is an Intake Form? An intake form collects all the information an organization or department needs to properly assess and route an individual or request through a business process. Examples include: Client Intake. Project Intake.

You might ask questions about therapy and treatment history, personal relationships, and goals for therapy. Along with the above, it's also important to: Discuss topics such as payment, ethical concerns, and the therapeutic relationship.

Intake documents are documents prepared at the beginning of a job, usually based on the requests of a customer. You might write an intake document if: A customer is placing an order for something to be manufactured. A customer is placing an order for repairs to be completed.

Questions may vary based on the type of therapy and type of therapist you're seeing. Why are you seeking therapy at this time? ... What do you expect from therapy? ... Have you been in therapy before? ... Are you having suicidal thoughts right now, or have you had suicidal thoughts within the past month?

How to create a client intake form Step 1: Click on Create New Form. ... Step 2: Select if you want to create from scratch or if you prefer to use a free template. ... Step 3: Name your Form. ... Step 4: Drag and drop the form fields. ... Step 5: Put the fields applicable to your business. ... Step 6: Format each field.

Patricia C. Packard Ph.D. ... Intake Interview Questions. ... What are stressors in your life currently? ... Mental and Physical Health History. ... Previous diagnosis? ... Any current or prior thoughts of hurting your self? ... Do any of your immediate family members have history of mental health issues?

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232