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		Calendar & Events Networking & Ideas Data Collection Data Collection FAQ’s Protocols & Instructions Client Intake Form Service Use Log Service Use Definitions Agency Profile Form Data Submission Draft Evaluation Reports e-Grants & Reporting Contacts & Lists Other Resources			Client Intake Form This data is to be collected once for each person in the ADDGS program, at their entry into the program. It provides basic client and caregiver demographic and functional status information. Please refer to the Protocol and Instructions for more information. You have a choice of downloading the MS Word version or PDF version of the Client Intake Form. • MS Word Version [58K] • PDF Version [161K]		" Put Your Program's Picture HERE! "

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