1F01-Alderwood-Intake-Form.pdf - The Children's Foundation 2026

1. Click ‘Get Form’ to open the 1F01-Alderwood-Intake-Form in our editor.
2. Begin by filling in the Referring Person’s Name, Role, and Organization at the top of the form. Ensure that you provide accurate contact information including phone number and email.
3. Next, complete the child's legal name, known as, date of birth, and primary caregiver(s) details. This section is crucial for identifying the child and their living situation.
4. Proceed to fill out the sections regarding parental information. Include names, contact numbers, and any restrictions on communication.
5. In the referral description section, provide a brief overview of why this referral is being made now. Highlight any strengths or specific emotional and behavioral issues concerning the child.
6. Indicate the degree of difficulty the child faces in various areas such as home, school, and community by checking low, medium, or high.
7. Complete additional sections regarding medical professionals involved with the child and any safety concerns related to self-harm or harm to others.
8. Finally, ensure all necessary attachments are checked off at the end of the form before submitting your completed document.

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