Get Sober Living Intake Forms

The Sober Living Intake Forms are designed to collect essential information for individuals seeking support in sober living environments. This guide provides a step-by-step approach to filling out these forms online, ensuring accuracy and completeness throughout the process.

Follow the steps to fill out the Sober Living Intake Forms online effectively.

1. Press the ‘Get Form’ button to access the Sober Living Intake Form and open it in your preferred editor.
2. Begin by entering the child's first name, middle initial, last name, and suffix if applicable.
3. Indicate the enrollment date by filling in the month, day, and year.
4. Provide the ESM Client ID if available, and indicate the highest grade completed by selecting the appropriate option.
5. Identify the child's gender by selecting male, female, or transgender.
6. Enter the child's birth date using the appropriate format: month, day, and year.
7. If requested, provide the Social Security Number (SSN); if not available, enter 999-99-9999.
8. Specify the address type (e.g., home or homeless) and fill in the street address, unit, city/town, state, and zip code.
9. Answer whether this is the primary address for the child.
10. If applicable, fill in the alternate name section, including nickname or alias.
11. In the demographics section, indicate if the child identifies as Spanish/Hispanic/Latino and specify ethnicity.
12. Provide the primary ethnicity/ancestry by selecting one option from the provided list.
13. Select all applicable races from the options given.
14. Indicate the preferred language for reading and discussing health-related materials.
15. Fill in household characteristics, including the number of adults and children living in the household.
16. Indicate marital status by selecting the correct option.
17. Move to the insurance section, entering the type of insurance if applicable, including policy numbers.
18. Complete the relations section by listing parent(s)/caregiver(s) and their relationship to the child.
19. After ensuring all required fields marked with a '' are completed, save your changes, and choose to download, print, or share the form.

Start filling out the Sober Living Intake Forms online today to take the first step towards support.