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Client Intake Assessment Form Template for Malaysia

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Key Requirements PROMPT example:

Client Intake Assessment Form

"I need a Client Intake Assessment Form for my medical consulting practice in Kuala Lumpur, compliant with Malaysian healthcare regulations and PDPA 2010, with specific sections for medical history and insurance coverage to be implemented by March 2025."

Document background
The Client Intake Assessment Form serves as an essential tool for organizations operating in Malaysia to gather and evaluate client information at the commencement of a business relationship. This document is designed to ensure compliance with Malaysian regulations, particularly the Personal Data Protection Act 2010, while facilitating efficient client onboarding processes. It includes sections for collecting personal information, service requirements, risk assessments, and necessary consents, with optional modules that can be tailored to specific industry needs. The form helps organizations maintain proper documentation, conduct due diligence, and establish clear service parameters while protecting both the service provider and client interests under Malaysian law.
Suggested Sections

1. Personal Information: Basic client details including name, ID/passport number, contact information, and address

2. Data Protection Notice: Statement explaining how personal data will be collected, used, and protected in compliance with PDPA 2010

3. Service Requirements: Client's specific needs, objectives, and desired outcomes

4. Financial Information: Basic financial details relevant to service provision

5. Risk Assessment: Standard risk evaluation questions for client categorization

6. Declaration: Client's confirmation of information accuracy and acceptance of terms

7. Consent: Client's explicit consent for data collection and processing

Optional Sections

1. Health Assessment: Additional health-related questions for medical or insurance-related services

2. Business Information: Company details and business background for corporate clients

3. Investment Profile: Details about investment experience and preferences for financial service clients

4. Family Information: Family details for estate planning or family-related services

5. Emergency Contacts: Emergency contact information for medical or high-risk services

6. Cultural/Religious Preferences: Specific cultural or religious considerations that may affect service delivery

Suggested Schedules

1. Schedule A - Required Documents Checklist: List of supporting documents required from the client

2. Schedule B - Fee Schedule: Detailed breakdown of applicable fees and charges

3. Schedule C - Service Terms and Conditions: Detailed terms and conditions of service provision

4. Appendix 1 - Risk Assessment Matrix: Detailed risk assessment criteria and scoring system

5. Appendix 2 - Privacy Policy: Detailed privacy policy and data protection procedures

6. Appendix 3 - Consent Forms: Additional specific consent forms for various services or data usage

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈ˰æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




















Clauses




















Relevant Industries

Financial Services

Healthcare

Legal Services

Professional Services

Insurance

Education

Real Estate

Management Consulting

Social Services

Business Advisory

Relevant Teams

Client Services

Compliance

Risk Management

Legal

Operations

Customer Support

Business Development

Data Protection

Administrative Support

Quality Assurance

Relevant Roles

Client Relations Manager

Compliance Officer

Risk Assessment Officer

Customer Service Representative

Business Development Manager

Legal Counsel

Data Protection Officer

Operations Manager

Account Manager

Intake Coordinator

Professional Service Provider

Administrative Assistant

Industries






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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