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AIP Supplemental Intake Checklist

Document Name
Participant Initials
Staff Initials
AIP Confidentiality Notice
AIP Participant Contract
AIP Group Rules
AIP Expulsion Policy
AIP Intake Assessment
UNCOPE Screen
PHQ-9
GAD 7
CDI

By signing below, I acknowledge that I have received and reviewed the above documents.


Clear Signature
Clear Signature
Clear Signature
Client Signature
Client Signature
Staff Signature