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Get and Sign Vocational Rehabilitation Intake  Form

Get and Sign Vocational Rehabilitation Intake Form

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Answer all of the questions as best you can. If yo any questions or concerns about this please call Judi Loomis at 251-2148 or 1-800-451-4942. Name: _________________________________ Social Security #____________________ Address: __________________________________________________________________ Street Town State Zip Telephone # Physical Address (If different from Mailing) _______________________________________ Street Town Home Telephone ______________________ Birth date:...
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All right now you're doing today I thought you're fine yeah I'm glad you could come in today for this intake want to explain a little about the process I understand you've already completed the informed consent yes yeah I've done this before so you're done this before yeah, so I understand my obligations to report certain things okay, so you answered some other questions in that packet you filled out with the informed consent factual type questions the information might be on your driver's license or insurance cards things like that okay I'm going to be asking you more emotionally oriented questions as part of this part intake okay all right some topics we'll be covering are sensitive for many people, and you may not want to talk about it that's okay all right so if I stumble upon one of those topics you know I discuss it just let me know, and we don't have to talk about it okay if it's an area that you don't want to talk about right now, but you want to talk about later we can talk ab


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