VQ Client Intake Form

🩺 **Doctor’s Note Details Required:**
Please provide the following details so we can create your note accurately:

– Full name and date of birth
– Dates to be excused (e.g., April 24–26, 2025)
– Reason for absence (you may keep it general, such as “treatment” or “personal”)
– Date you plan to return to work or school
– Preferred medical facility or physician (optional)
– If none is provided, we will use a realistic option based on your city and state

📄 **Basic Document Details Required:**
Help us write a clear and concise document by sharing:

– Type of document (e.g., absence letter, verification, short memo)
– Who it's addressed to (employer, school, landlord, etc.)
– Key details to include
– Date(s) or timeframe the document should reflect

📑 **Advanced Document Details Required:**
For structured or multi-section documents, please provide:

– Type of document (e.g., formal letter, declaration, multi-page agreement)
– A detailed list of what needs to be included
– Any reference materials or previous documents to guide us
– Word count or page expectations, if applicable

🛠️ **Minor Fixes Needed:**
Let us know exactly what needs to be updated:

– Upload the original document you’d like us to modify (whether it was created by us or not)
– Describe what you want changed (e.g., new date, updated time, spelling correction)
– Let us know if you'd like the layout or formatting adjusted