For IBHS, Extended Evaluation, PHP, ARRTS, and CSBBH Title, it “ Please select a program.”
Please add the option of “Unsure.”  Description “It's ok! Someone will reach out shortly to provide you with more information!”
Please change the referring agent to “Name of Person completing Referral.”
Change “Referrers” Phone Number” Please make it so that it shows up w ith the dashes 484-365-3859 – Also, createa separate one for the email
When the date of birth is entered, make it populate the age? Also make it so it is written in as 12/23/1991
Date format is changed but the age calculation is not possible to do
For the Client name, make a separate box for “First Name” and one “ Last Name.”
Please Add “Contact for Interview Name”, contact for Interview Number” - Make it so its typed 484-365-3859, and “Contact for Interview Email” - Make it Required.
Please remove the “List and Agencies Currently Involved Below” section.
Please remove “level of family participation.”
Please make “school history” required.
Please remove “ notes”
Please remove the below section as well.