Client information sheet - Behavior Care Specialists 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the date at the top of the form. This helps track when the information was collected.
3. In the 'Child and Family Information' section, fill in the client's last name, first name, age, date of birth, gender, and grade. Ensure accuracy as this information is crucial for identification.
4. Provide details about the primary diagnosis and any secondary diagnoses along with their respective dates. Include information about the diagnosing doctor and clinic.
5. Complete the 'Legal Guardian Information' section with full names, relationships to the child, contact details, and preferred methods of communication.
6. For emergency contacts, list individuals who can be reached in case of an emergency along with their relationship to the patient.
7. Continue filling out sections regarding school placement, funding sources, referral information, medical history, treatment history, and current concerns as applicable.

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