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Personal History Checklist - Adult

Intake report for adults.

Personal History Checklist™ for Adults
John A. Schinka, PhD
Purpose:Facilitate completion of personal history during intake
Age range:18 to 60 years
Admin time:Varies
Scoring time:5 minutes
Qualification level:A
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Completed by the clinician or your adult client. Facilitates completion of the personal history during routine intake procedures; written at a 7th-grade reading level.

Forms and Booklets
Item numberProduct descriptionList priceAdd to Cart
WW-1472-CFPersonal History Checklist–Adult (pkg/25)$64.00
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Personal History Checklist™ for Adolescents

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