Intake Information Needed:
Name, address and telephone number for the following:
* Psychiatrist (include date of last visit)
* Psychologosit (include date of last visit)
* Dentist (include date of last visit)
* Doctor (include date of last visit)
* School
* Social Worker
* Probation Officer
* Guardian as Litem
* Former Placements
* Pharmacy
Immunization records
School IEP (Individual Education Plan)
Copy of Social Security Card
Copy of Birth Certificate
Copies of all Insurance/MA cards
Name of Parents' Employers
Parents' social security numbers
Parents' birthdates
List of restricted contact people
List of approved contact people
Medicatins in original bottles
Copy of court order or voluntary placement agreement
Items Needed:
One piece swinsuit (FH)
Tennis shoes
2/18/2008r |
