Get the free COUNSELING SERVICES INTAKE FORM ... - Aurora University - aurora

File # COUNSELING SERVICES INTAKE FORM Have you been to Aurora University Counseling Services before? Yes No Contact Information: Name: Today s Date: (First) (Middle) (Last) School Address: (Building)

How to fill out counseling services intake form

How to fill out counseling services intake form:

1. Start by providing your personal information such as your name, contact details, and date of birth.
2. Next, answer the questions regarding your reason for seeking counseling services and provide any relevant background information.
3. If applicable, indicate any previous counseling or therapy experiences and provide details on the type of treatment received.
4. Answer questions related to your mental health history, including any diagnoses, medications, or hospitalizations.
5. Provide information on your current living situation, such as your marital status, household members, and any significant life events.
6. Answer questions about your social support network, including friends, family, and relationships.
7. Indicate any current or past substance abuse issues and provide details on treatment or recovery efforts.
8. Answer questions related to your physical health, including any medical conditions or medications.
9. Provide information on your educational and employment history.
10. Sign and date the intake form to indicate your consent for counseling services.

Who needs counseling services intake form:

1. Individuals seeking counseling services from a mental health professional.
2. Those who want to access support for their mental health well-being.
3. Anyone who wishes to receive therapy or counseling for emotional or psychological concerns.

For pdfFiller’s FAQs

What is counseling services intake form?

Counseling services intake form is a document that collects necessary information from individuals seeking counseling services.

Who is required to file counseling services intake form?

Individuals who want to avail counseling services are required to file the counseling services intake form.

How to fill out counseling services intake form?

To fill out the counseling services intake form, one needs to provide personal information, medical history, reason for seeking counseling, and any other required details.

What is the purpose of counseling services intake form?

The purpose of counseling services intake form is to gather relevant information about the individual seeking counseling, which helps the counselor in assessing their needs and providing appropriate services.

What information must be reported on counseling services intake form?

The counseling services intake form may require information such as name, contact details, demographics, medical history, previous counseling experiences, current issues, and any other relevant details.

How do I edit counseling services intake form online?

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