Pre-admission Goals
In order to take full advantage of your time with Averte, please share information about your goals while in treatment. This information will assist us in developing a residential care plan to support clinical goals.
Client Name
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First Name
Last Name
Name of Person filling out this form
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Wellness Goals - Physical, health related, exercise, nutrition etc.
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Activities of daily living goals: scheduling, hygiene, healthy choices, personal living environment, etc.
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Life Skills - Symptom management, vocational, educational, relationship, independent living, etc.
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Other information that may be useful for treatment.
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Please verify that you are human
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Submit
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