Admission Documentation Sample Clauses
Admission Documentation. At Contractor’s intake meeting with client, Contractor shall complete admission documentation with the following information:
1. Informed Consent to Treatment form, signed by client;
2. Release of Information form, signed by client;
3. Intake form including financial assessment and contract for fees, signed by client;
4. Medication Consent form, signed by client if applicable;
5. Health Questionnaire, signed by client; and
6. Personal/demographic information of client, as described in State of California Alcohol and/or Other Drug Program Certification Standards, including:
i. Social, economic and family background;
ii. Education;
iii. Vocational achievements;
iv. Criminal history, v. Legal status;