Client Intake Assessment Form

Client Intake Assessment Form Template for Singapore

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Key Requirements PROMPT example:

"I need a Client Intake Assessment Form for my Singapore-based physiotherapy practice that includes detailed medical history sections and ensures PDPA compliance, to be implemented by March 2025."

Document background

The Client Intake Assessment Form is a crucial document used by Singapore-based service providers to initiate client relationships and ensure regulatory compliance. It combines comprehensive information gathering with risk assessment capabilities, allowing organizations to properly evaluate client needs while adhering to Singapore's strict data protection laws and industry-specific requirements. This document is particularly important for maintaining accurate records, ensuring proper service delivery, and meeting Know Your Client (KYC) obligations under Singapore law.

Suggested Sections

1. Client Personal Information: Basic identification details including name, contact information, identification numbers, and address

2. Service Requirements: Primary reason for seeking services, specific needs, and desired outcomes

3. Client History: Relevant background information including previous service usage and relationships with other service providers

4. Data Protection Notice: PDPA compliance statement and consent for data collection, use, and disclosure

5. Declaration: Client's confirmation of truth and accuracy of provided information, including signature and date

Optional Sections

1. Financial Assessment: Detailed financial information including income, assets, liabilities, and financial objectives - used for financial services or payment planning

2. Medical History: Health-related information including current conditions, medications, and previous treatments - relevant for healthcare services

3. Risk Assessment: Evaluation of potential risks including client vulnerability assessment and risk tolerance profiling

Suggested Schedules

1. Privacy Policy: Detailed policies regarding data protection, storage, usage, and client rights under PDPA

2. Service Terms: Standard terms and conditions of service provision including scope, limitations, and obligations

3. Required Documents Checklist: Comprehensive list of supporting documents required for client verification and service provision

Authors

Alex Denne

Head of Growth (Open Source Law) @ ��Ƶ | 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

Legal Services
Healthcare
Financial Services
Professional Services
Social Services

Relevant Teams

Client Relations
Compliance
Operations
Legal
Data Protection

Relevant Roles

Client Relations Manager
Compliance Officer
Service Manager
Risk Assessment Officer
Operations Director

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Let's create your Client Intake Assessment Form

Authors

Alex Denne

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