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Social Work Intake Form

Social Work Intake Form Template for United Arab Emirates

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Key Requirements PROMPT example:

Social Work Intake Form Template

"I need a Social Work Intake Form Template for our new mental health clinic in Dubai, compliant with UAE healthcare regulations, that includes comprehensive mental health screening sections and can be completed in both Arabic and English."

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Document background
The Social Work Intake Form Template serves as a standardized initial assessment tool for social service providers operating within the United Arab Emirates. This document is designed to be used during the first contact with clients seeking social services, ensuring comprehensive information gathering while maintaining compliance with UAE Federal Laws, including UAE Federal Law No. 2 of 2008 concerning Ministry of Social Affairs and related regulations. The template incorporates essential elements for client assessment, risk evaluation, and service planning, while respecting local cultural norms and bilingual requirements. It is particularly valuable for organizations providing social services, healthcare facilities, educational institutions, and community centers throughout the UAE, enabling consistent and professional documentation of client needs and circumstances.
Suggested Sections

1. Personal Information: Basic client details including full name (English/Arabic), Emirates ID, date of birth, nationality, contact information, and preferred language

2. Emergency Contact Details: Contact information for at least two emergency contacts including relationship to client

3. Current Living Situation: Housing status, household composition, and basic living conditions

4. Health Information: Current health status, medical conditions, medications, and healthcare providers

5. Financial Status: Employment status, income sources, and basic financial assessment

6. Presenting Issues: Primary reasons for seeking social work services and immediate concerns

7. Risk Assessment: Initial assessment of any immediate risks to client or others

8. Consent and Confidentiality: Client consent for services and information sharing, confidentiality terms

9. Initial Action Plan: Immediate steps to be taken and services to be provided

Optional Sections

1. Educational Background: Include for cases involving academic support or youth services

2. Legal Status: Add for cases involving legal issues or immigration matters

3. Cultural/Religious Considerations: Include when specific cultural or religious factors are relevant to service provision

4. Disability Assessment: Add for clients with disabilities requiring special accommodations

5. Child Protection Information: Include when case involves minors or child protection concerns

6. Domestic Violence Screening: Add when there are indicators of domestic violence or abuse

7. Substance Use Assessment: Include when substance use issues are indicated or suspected

8. Mental Health History: Add for cases involving mental health concerns or previous treatment

Suggested Schedules

1. Appendix A: Service Consent Forms: Standard consent forms in Arabic and English

2. Appendix B: Release of Information Forms: Authorization forms for information sharing with other agencies

3. Appendix C: Risk Assessment Tools: Standardized risk assessment instruments

4. Appendix D: Resource Directory: List of local service providers and referral resources

5. Appendix E: Documentation Checklist: List of required documents and verification of receipt

6. Appendix F: Follow-up Schedule: Template for planning follow-up appointments and interventions

Authors

Alex Denne

Head of Growth (Open Source Law) @ ¶¶Òõ¶ÌÊÓƵ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions



































Clauses

























Relevant Industries

Healthcare

Social Services

Mental Health

Education

Child Protection

Disability Services

Elder Care

Family Services

Community Development

Rehabilitation Services

Crisis Intervention

Public Welfare

Relevant Teams

Social Services

Clinical Support

Case Management

Child Protection

Crisis Intervention

Family Support

Mental Health

Community Outreach

Intake and Assessment

Quality Assurance

Relevant Roles

Social Worker

Case Manager

Clinical Social Worker

Family Support Worker

Child Protection Officer

Mental Health Counselor

Community Services Coordinator

Social Services Director

Intake Specialist

Healthcare Social Worker

School Social Worker

Crisis Intervention Specialist

Rehabilitation Counselor

Social Work Supervisor

Industries








Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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