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CLIENT INFORMATION Amy Cliff, LCSW, PC First Name Last Name Date Address City, State Zip Code Home Phone Work Phone Mobile Phone Date of birth / / Age Male Female Single Married Other Email Address
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Paula Acker LCSW intake refers to the initial evaluation or assessment conducted by the licensed clinical social worker Paula Acker.
Individuals seeking counseling services from Paula Acker may be required to complete the intake process.
To fill out Paula Acker LCSW intake, individuals may need to provide personal information, medical history, and reasons for seeking counseling.
The purpose of Paula Acker LCSW intake is to gather relevant information about the client's mental health status, needs, and goals for therapy.
Information such as personal demographics, medical history, current symptoms, and mental health concerns may need to be reported on Paula Acker LCSW intake.
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