Get Star Case Management Intake Assessment Form Client Information

This guide provides detailed instructions on how to complete the STAR Case Management Intake Assessment Form Client Information online. By following the steps outlined below, users can ensure accurate and efficient submission of their information for case management services.

Follow the steps to complete the form effectively:

1. Press the ‘Get Form’ button to access the STAR Case Management Intake Assessment Form and open it in your preferred online editor.
2. Begin filling out the 'Client Name' field with your full legal name. Ensure accuracy as this will be used for identification.
3. Enter your 'Service Point #' in the relevant field. This may be provided by the case management agency.
4. Fill in the 'Date' field with the current date when you are completing the form.
5. Provide your 'Last Address' and indicate the duration of your stay at that address.
6. Input your 'Age' and 'Date of Birth' in the respective fields using the format MM/DD/YYYY.
7. Select your 'Race' from the options provided, and indicate your 'Ethnicity' by checking the appropriate box.
8. List your 'Emergency Contact(s)' along with their phone number and relationship to you.
9. Indicate your current living situation by answering whether there is anyone with you and how long you have been homeless.
10. Detail your 'Marital Status' and provide information regarding children, if applicable.
11. Answer the questions under the 'Veteran Information' section, noting if you are a veteran and providing details about your discharge status.
12. Complete the 'Education' section by indicating your highest level of education and any special education needs.
13. In the 'Employment' section, indicate your current employment status and details regarding your last job.
14. Fill in the 'Legal' section, providing information on any past convictions or current legal issues.
15. Under the 'Income and Resources' section, list any benefits you are receiving and debts you are responsible for in the next 90 days.
16. Complete the 'Physical Health' section by noting any healthcare access and current health concerns.
17. Fill out the 'Mental Health' and 'Substance Abuse' sections based on your personal experience, indicating if you need further assistance.
18. Review all the information accurately filled out. Ensure all required fields are complete.
19. Once all sections are thoroughly filled, save the changes. You may also download, print, or share the completed form as needed.

Start filling out the STAR Case Management Intake Assessment Form online today to access the support you need.