PRE-PLACEMENT REQUIREMENTS

• INTAKE & ASSESSMENT SHEET

• PSYCH EVAL

• SIS

• ID CARD

• SS CARD

• BIRTH CERTIFICATE

• INS CARD

• MED LIST

• RECORD OF IMMUNIZATION/MEDICAL HISTORY

• GUARDIANSHIP DOCUMENTS/COURT DOCS (IF APPLICABLE)

• BEHAVIOR PLAN (IF APPLICABLE)

• INTAKE AGREEMENT (SIGNED BY LEGAL GUARDIAN. OR CLIENT)

• PHARMACY APPLICATION

•  (ADDL ITEMS FOR LICENSE CLIENTS)

• VERIFICATION CLIENT MEETS ELIGIBILITY REQUIREMENTS

• VERIFICATION CLIENT DOENS'T MEET ANY EXCULISIONARY CRITERIA

• DESCRIPTION OF PRESENTING NEEDS

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