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 as applicable. 5. Health Questionnaire, signed by client. 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;
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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 as applicable.client;
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;
Appears in 1 contract
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 as applicableclient.
5. Health Questionnaire, signed by client.
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;
Appears in 1 contract
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 as 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;
Appears in 1 contract