intake forms Flashcards by Eric wIlson | Brainscape

Q

Consent

A

Consentimiento

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Q

personal information form

A

Formulario de informacion personal

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Q

confidentiality

A

Confidencialidad

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Q

client’s rights

A

derechos del cliente

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Q

fee

A

cuota

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Q

release of information

A

autorizacion para proporcionar/intercambiar informacion

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Q

mental health history

A

Historial de salud mental

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Q

HIPAA

A

codigo de portabilidad del seguro de salud y contabilidad

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Q

initial intake forms

A

formularios iniciales de admision

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Q

form(s)

A

forma(s)

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Q

policy

A

Poliza

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Q

emergency contact

A

Contacto de emergencia

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Q

therapy

A

La Terapia

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Q

therapist

A

terapeuta

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Q

referral

A

el referido

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Q

client

A

cliente

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Q

psychologist(s)

A

psicologo(s)

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Q

abnormal

A

Anormal

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Q

absent

A

ausente

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Q

Name

A

Nombre

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Q

birth date

A

fecha de nacimiento

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Q

age

A

edad

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Q

sex

A

sexo

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Q

race/group ethnicity

A

raza/grupo etnico

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Q

address, street, # of apt.

A

direccion de casa, calle, numero de apartamento

Q

city, post code

A

ciudad, codigo postal

Q

sexual orientation

A

Orientacion sexual

Q

phone number (work, home)

A

numero de telefono de (trabajo, casa)

Q

email

A

correo electronico

Q

name to contact in case of emergency

A

nombre de un contacto en caso de emergencia

Q

relationship

A

relacion

Q

dilemma

A

dilema

Q

type of counseling

A

tipo de terapia

Q

individual, couple, family, group

A

individual, de parejas, familiar, grupal

Q

social security number

A

numero de seguro social

Q

people in home

A

personas en hogar

Q

marriage status

A

estado civil

Q

single

A

soltero(a)

Q

married

A

casado/a

Q

divorced

A

divorciado/a

Q

separated

A

separado/a

Q

widowed

A

viudo/a

Q

languages in addition to spansh

A

idiomas ademas de español

Q

religious preference (optional)

A

Preferencia Religiosa (opcional)

Q

student

A

estudiante

Q

name of last school attended

A

nombre de la ultima escuela asistio

Q

highest grade in school

A

grado escolar mas alto

Q

degree or specialy

A

titulo o especialidad

Q

learning problem

A

problema de aprendizaje

Q

working

A

trabajando

Q

unemployed

A

desempleado/a

Q

occupation

A

ocupacion

Q

annual salary

A

salario anual

Q

health information

A

informacion de salud

Q

doctors name of client

A

nombre del medico del cliente

Q

in care of a doctor

A

esta bajo el cuidado de un medico

Q

list of medication

A

lista de medicamentos

Q

dose

A

dosis

Q

prescribed by

A

recetada por

Q

counseling and psychotherapy

A

consejeria y psicoterapia

Q

dates

A

fechas

Q

who did you see?

A

?A quien vio?