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Intake Forms

 

Please fill out the appropriate form(s) to bring to your first session. 
This information will make the session progress more smoothly.

 

Please answer all questions.  If a question does not apply, write “does not apply.” 
Some of these questions may require considerable thought before answering. 
Please describe and explain the situation as it is and avoid the use of words such as average, normal, and good.

Documents

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Child Intake Form Child Intake Form

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Date added: 04/23/2010
Date modified: 04/26/2010
Filesize: 30.5 kB
Downloads: 1517

The purpose of this form is to obtain a history of your child's life. The information you are able to provide will assist us in better understanding your child's present problem.

Adult Intake Form Adult Intake Form

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Date added: 04/23/2010
Date modified: 07/29/2013
Filesize: 52.5 kB
Downloads: 2031

This form provides valuable information to use in the counseling session.  Please bring it to your first session completed in order to expedite the initial evaluation process.

 Adolescent Questionnaire Adolescent Questionnaire

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Date added: 04/23/2010
Date modified: 04/26/2010
Filesize: 91.5 kB
Downloads: 1165
The purpose of this form is to obtain a history of your child’s life.  The information you are able to provide will assist us in better understanding your child.