Patient-Client Intake

Legal case sheet developed by the Families' Legal and Medical Partnership in Milwaukee, WI.

MLP | Boston form for clients to acknowledge legal consult and the distinction between the medical-legal partnership and the hospital's General Counsel.

This MLP | Boston form allows the staff member to record information regarding an unlimited number of household children.

This MLP | Boston form allows the staff member to record information regarding an unlimited number of household adults.

This MLP | Boston form provides a template for an in-depth intake interview, which allows the staff member at intake to organize as much of the information that is routinely collected as possible. Please note that this form was developed in Massachusetts. Specific agency, department, or program names may differ in other states.

MLP | Boston release for clients authorizing the legal team to access all or parts of their medical records as specified on the form.

MLP | Boston release for clients authorizing the legal team to speak to doctors, government agencies, community agencies, former attorneys, and schools as specified on the form.