Get The Advocacy Office Of Gerri Fleming Client Intake Form

Filling out the The Advocacy Office of Gerri Fleming Client Intake Form online is an important step in ensuring that your needs and those of your child are effectively communicated. This guide provides clear, step-by-step instructions to assist you in completing the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Click ‘Get Form’ button to open the Client Intake Form in an editable format.
2. Begin by entering the parent(s) name(s) in the designated field. This information is essential for identifying the primary contact.
3. Next, fill in your address in the appropriate section to provide your current residence information.
4. Input the phone numbers for both parents, including home, work, and cell numbers, in the specified fields for effective communication.
5. Provide your email address, ensuring it is accurate to facilitate correspondence.
6. List the employer names and positions for each parent followed by the employer addresses to give context on the family’s background.
7. Indicate how you heard about this office in the provided space, as well as the name of any person who referred you to this office.
8. Enter your child's name, nickname, date of birth, age, current grade, school district, and school name to establish your child’s academic profile.
9. Fill in the school address and the names of special education administrators to ensure proper identification of school contacts.
10. Answer questions regarding your child's 504 Plan and IEP status by selecting 'YES' or 'NO' and provide required details if applicable.
11. If your child has an IEP, indicate the eligibility category by circling one from the list provided.
12. Answer questions about your child's disabilities and diagnoses, medication, and academic levels across various subjects by providing detailed and honest responses.
13. List any parental concerns regarding different areas of academic and social development as prompted in the form.
14. Indicate your child's strengths and past evaluations regarding special education needs to give context to your child's educational history.
15. Respond to questions about your experiences with school evaluations, services received, behavior issues, and any previous advocacy or legal actions.
16. Use the final section to describe ideal supports and services you believe your child needs for successful learning.
17. Review all entries for accuracy and completeness before saving your changes, and ensure you download, print, or share the form as necessary.

Take the next step in getting the support you need by completing the Client Intake Form online today.