Page 96 - Juvenile Practice is not Child's Play

potential immigration issues, see § 14.07 infra.) What is the client’s nationality if not U.S.? Is the parent or guardian with
whom the client lives a non-citizen? If so, what is his or her immigration status? What is his or her nationality? Has the
client or his or her parent or guardian expressed concern about immigration problems if government officials learn of
his or her non-citizenship status or whereabouts?

Has the client or his or her parent or guardian had contact with immigration authorities? If so, what is the name
of any individual immigration agent known by the client to be involved, and what is that agent’s title, office or
department, street address, phone, email, e-text, and website addresses? If the names of individual agents are unknown,
what is the name of the agency or department involved, and its street address, phone, email, and website addresses?
Does the client or his or her parent or guardian have paper or electronic documents that would contain this contact
information?

Does (or did) the client use drugs? Yes No

Type(s): Since (date):

Present frequency of use:

Has the client received treatment for a drug problem or participated in any form of detoxification or

rehabilitation program (including peer-group programs)? Yes No

For each occasion:

Describe treatment or regimen:

Dates of beginning and end of treatment or regimen:

Name of agency:

Address:

Phone:

Email and website addresses

Name(s) of counselor(s) or professional personnel:
Street address:

Phone:
Email, e-text, and website addresses:
Does the client or his or her parent or guardian have paper or electronic documents that would contain
this contact information or information about the client’s treatment or performance?

Does (or did) the client use alcohol? Yes No

Volume and frequency of use:

If heavy drinker, since (date):