Get the free Union University Counseling Client Information Form - uu

This document is a form for clients to provide personal, family, academic, and general information before their first appointment at the Union University Counseling Center.

How to fill out union university counseling client

How to fill out Union University Counseling Client Information Form

1. Start with personal information: Fill in your name, address, phone number, and email.
2. Provide demographic details: Indicate your age, gender, ethnicity, and marital status.
3. Complete the emergency contact section: List a person to contact in case of an emergency.
4. Share referral information: Mention how you heard about the counseling services.
5. Fill in your medical history: Include details about any past or current medical conditions.
6. Discuss mental health history: Provide information on previous counseling experiences, medications, and any mental health diagnoses.
7. Specify reason for seeking counseling: Describe what prompted you to seek help.
8. Sign the form: After reviewing all the information, sign and date the form.

Who needs Union University Counseling Client Information Form?

1. Students seeking counseling services at Union University who require mental health support.
2. Individuals who have been referred to counseling by a faculty member, advisor, or another professional.
3. Anyone looking to access mental health resources and support provided by the university.

For pdfFiller’s FAQs

What is Union University Counseling Client Information Form?

The Union University Counseling Client Information Form is a document used to gather personal and relevant information from clients seeking counseling services at Union University.

Who is required to file Union University Counseling Client Information Form?

All clients who wish to receive counseling services at Union University are required to fill out the Counseling Client Information Form as part of the intake process.

How to fill out Union University Counseling Client Information Form?

To fill out the Union University Counseling Client Information Form, clients should provide their personal details, contact information, medical history, and any other relevant information as requested on the form.

What is the purpose of Union University Counseling Client Information Form?

The purpose of the Union University Counseling Client Information Form is to collect essential background information about clients, which helps counselors understand their needs and provide appropriate care.

What information must be reported on Union University Counseling Client Information Form?

The information that must be reported on the form includes personal identification details, contact information, medical history, previous counseling experiences, and any current concerns or issues the client may be facing.