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Client Intake Form Template for England and Wales

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Key Requirements PROMPT example:

Client Intake Form

I need a Client Intake Form for my London-based physiotherapy practice that includes medical history sections and emergency contact details, compliant with UK healthcare regulations and GDPR requirements.

Document background
The Client Intake Form is a fundamental document used across various professional sectors in England and Wales to initiate client relationships and ensure regulatory compliance. It serves multiple purposes: gathering essential client information, documenting service requirements, ensuring compliance with UK GDPR and sector-specific regulations, and establishing clear communication channels. This document is typically used at the first point of contact with new clients and forms the foundation for subsequent service delivery and client relationship management.
Suggested Sections

1. Personal Information: Basic contact details, name, address, contact numbers, email

2. Service Requirements: Nature of services needed, specific requirements or preferences

3. Communication Preferences: Preferred methods of contact and communication

4. Data Protection Notice: Information about how personal data will be used and stored

5. Declaration: Client confirmation of accuracy and consent

Optional Sections

1. Financial Information: Payment details and preferences, when financial services are involved

2. Medical Information: Health-related information for healthcare services

3. Emergency Contacts: Alternative contact details for urgent situations

4. Professional References: When required for specific services or industries

Suggested Schedules

1. Privacy Policy: Detailed information about data handling practices

2. Terms of Service: Standard terms and conditions for service provision

3. Service Schedule: Detailed breakdown of services offered and selected

Authors

Relevant legal definitions
















Clauses















Relevant Industries
Relevant Teams
Relevant Roles
Industries

UK GDPR and Data Protection Act 2018: Core data protection legislation that governs how personal information must be collected, processed, and stored. Essential for client intake forms as they typically collect personal data.

Privacy and Electronic Communications Regulations (PECR): Specific rules for privacy in electronic communications, particularly relevant if the intake form is digital or if follow-up communications are planned.

Consumer Rights Act 2015: Fundamental consumer protection legislation that ensures fairness and transparency in business-to-consumer relationships.

Consumer Contracts Regulations 2013: Governs information that must be provided to consumers before and after making a contract, including cancellation rights and additional charges.

Consumer Protection from Unfair Trading Regulations 2008: Protects consumers from unfair commercial practices and requires transparency in business communications.

Equality Act 2010: Ensures non-discrimination and equal treatment regardless of protected characteristics, and requires reasonable adjustments for accessibility.

Electronic Communications Act 2000: Provides legal framework for electronic communications and signatures, particularly relevant for digital intake forms.

Electronic Signatures Regulations 2002: Specific regulations governing the use and validity of electronic signatures in documentation.

Money Laundering Regulations 2017: Requirements for client due diligence and information collection to prevent money laundering and terrorist financing.

Industry-Specific Regulations: Various sector-specific requirements such as Financial Services and Markets Act 2000, Health and Social Care Act 2012, or SRA requirements depending on the business sector.

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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