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Delinquent Intake Assessment Form

Steps

  1. 1. Youth's Information
  2. 2. Parent/Guardian Information
  3. 3. School/Court/Services
  4. 4. Youth's Behavior
  5. 5. Behavior Checklist
  6. 6. Youth Portion
  7. 7. Substance Abuse Screening
  8. 8. Confidentiality and Disclosure Notices
  • Youth's Information

    1. dc_logo_sm

    2. Douglas County Juvenile Programs Intake Assessment Information

    3. Youth's Information

    4. Sex*

    5. Do you need a translator?*