CARE Client Intake Packet Form
WELCOME

We are excited to begin our journey with you. We would like to take this time to give you some insight about our center and share our process for how services are offered so you will hopefully have a pleasant and successful experience.

We welcome any feedback you would like to give our staff and will do our best to provide services that will be useful in your life. We ask that you come with an open mind and willing to participate.

Due to the nature of our program and services, there will occasionally be changes and we will do our best to notify you of changes as soon as possible.

A few things to note:

* Our staff is here to do our best to meet your needs and accommodate your schedule to the best of our ability. We ask that you consider our staff when you need to cancel or reschedule an appointment and provide 24 hours notice of a cancellation. The more notice you provide, the more opportunities we will have to assist other people that are in need.

* Please keep your cell phones put away and on silent so we are able to maximize our time together.

* We ask that you leave your children with someone for supervision, as we do not have the staff available to provide childcare.

* If you smoke, please go to the street to do so. We want to keep our air as free and clear of smoke as possible so that other clients are not subjected to the smoke...especially our little ones. We appreciate your consideration with this request.

* If you bring food or drink, please keep it in the bar area of the kitchen. The fridge and cabinets are for staff only.

* Please use soft voices in the lobby so counseling sessions in the offices around you are not interrupted.

* Please pick up after yourself and dispose of any trash.

* Please do not feed the cats they do not belong to CCMC.

* Please do not play in the creek. If you choose to go near the creek, do so at your own risk and we are not responsible for any injury.

Services:

* You will complete paperwork and begin services for group (please see group schedule and class descriptions for more information.

* You will be assigned a counselor for individual services or assessments.


Please answer all questions on the form honestly and completely, to the best of your ability. These responses will help your counselor to better assess your case. If a question does not apply and is required, please put NA (Not applicable) in the box.
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