Client Intake — I-751 Joint Filing
Capacity Sharing LCSW PLLC / Alifa Evaluation. Client form.
Sign in to Google to save your progress. Learn more
Evaluator email (for your copy of this intake) *
Enter the email address of the evaluator completing this intake. A PDF copy of this completed form will be sent to that address, and to the practice, as soon as the form is submitted. The client does not receive a copy.
Supporting documents
Please do not attach documents to this form. Email any records the client has provided, such as medical records, police reports, court documents or prior filings, to ana337@nyu.edu.

Subject line: clientname_casetype_doctype. For this case type that would look like ramirez_i751_policereport.

In the body, write one short paragraph saying what the document is, who produced it, and why it matters to the evaluation. Send one email per document where you can, so each record is easy to file against the case.
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of New York University.

Does this form look suspicious? Report