Get Npc Research Youth Intake Interview Form

Completing the NPC Research Youth Intake Interview Form online is a crucial step in gathering essential information about the youth's background and needs. This guide will provide you with clear, step-by-step instructions to ensure a smooth and accurate submission process.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by filling in today's date at the top of the form, followed by the youth's full name, including first, middle, and last names.
3. Provide the youth's birth date and gender designation, then include their phone number and social security number.
4. Next, enter the place of birth and information about any health insurance providers.
5. Fill in the names and birth dates of the mother and father, along with their occupations and addresses, if applicable.
6. Indicate who is present for the assessment and record the self-identified race, ethnicity, or cultural heritage.
7. Input the language spoken at home, particularly if it is not English.
8. In the educational information section, include the school building name, credits earned, GPA, and current grade. Indicate whether the individual has an Individualized Education Program (IEP) and if they have been diagnosed with ADHD.
9. Describe the youth's attendance pattern by checking the appropriate option and list their academic goals with an explanation.
10. Address questions regarding participation in school sports, clubs, and activities, as well as perceptions of school and favorite subjects.
11. Provide information on any disciplinary actions such as suspensions or expulsions and whether there are any adults at school the youth can talk to.
12. Detail the family structure, who the youth lives with, the home environment, and rules or consequences at home.
13. Include significant family events and assess family strengths and support systems.
14. In the youth's section, discuss hobbies, interests, and any positive adult influences.
15. Detail peer relationships, parental approval, and any changes in friendships over time.
16. Complete the medical section by noting any history of medication, developmental milestones, and any past illnesses or injuries.
17. Fill out the mental health section, including any previous services, thoughts of self-harm, or family history of mental illness.
18. Address questions regarding history of abuse, drug, and alcohol use along with any safety concerns.
19. Complete the goals section by detailing short-term and long-term objectives.
20. Finally, review all entered information for accuracy and save changes, download, print, or share the form as needed.

Take the next step and complete the NPC Research Youth Intake Interview Form online today.