Get Il Rise New Client Form 2020-2025

Filling out the IL RISE New Client Form online is an essential step for initiating services. This guide provides clear, step-by-step instructions to ensure that you accurately complete each section of the form.

Follow the steps to successfully complete your new client form.

1. Press the ‘Get Form’ button to access the IL RISE New Client Form and open it in your preferred digital editor.
2. Begin filling out the client information section, including the client's name, age, address, birthdate, city, home phone, state, cell phone, zip code, and email. Make sure to provide accurate information as this will be used for your records.
3. If the client is under the age of 18, please complete the section for parental information. Provide the names, ages, and contact details of both the mother and father, along with their marital status, and any required custody details.
4. In the health history section, indicate if the client has a personal or family history of relevant conditions by checking 'Yes' or 'No' for each listed item. If there is a family history, specify the relationship to the client.
5. Complete the section regarding any current medications, supplements, or vitamins. List each item's name, dosage, schedule, and the reason for taking it, ensuring to provide complete and accurate information.
6. For clients in school, fill in the current school and grade details. Indicate whether a 504 plan or an Individualized Education Plan (IEP) is in place and if psychological testing has been administered.
7. Specify the athletic history by detailing the sport(s) for which services are being sought, the total number of years playing these sports, and your short-term and long-term goals.
8. Rate the importance of various issues related to sports and mental health as specified in the form. Use the provided scale to indicate levels of concern, ensuring to address each issue thoroughly.
9. Lastly, note any additional concerns or areas of interest in the designated space. This helps tailor the services to your specific needs.
10. Once you have completed all sections of the form, you may save your changes, download the form, print it, or share it as needed.

Start completing your IL RISE New Client Form online today!