New Orleans Family Justice Center Intake Form

This Intake Form, created by the New Orleans Family Justice Center,  is a template resource for Family Justice/Multi-Agency Centers that are developing or updating their Intake Form. This sample document includes sections for collecting basic demographic information and context on a client's victimization. It also provides space to document what services the client accessed (ex: Civil Legal Advocacy, Counseling, Crisis Intervention, etc.) and whether or not their needs were addressed.