Common use of Admission Documentation Clause in Contracts

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;

Appears in 1 contract

Samples: Agreement for Services of Independent Contractor

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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

Samples: Agreement for Services of Independent Contractor

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

Samples: Agreement for Services of Independent Contractor

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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 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

Samples: Agreement for Services of Independent Contractor

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