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MINOR INTAKE FORM Demographic Information: Note: This information is confidential. Name: Date: Date of Birth: Gender: Home/Mobile Phone: Is it ok to leave a message for you at this number? Y / N Work
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How to fill out minor full circle counseling
How to fill out minor full circle counseling:
01
Begin by gathering all necessary information about the minor, such as their full name, age, and any relevant personal details.
02
Fill out the introductory section of the counseling form, which typically includes the date, the name of the counselor, and the purpose of the counseling session.
03
Provide a brief background or context for the counseling session. This may include information about any previous counseling sessions or issues that have been identified.
04
Identify the goals and objectives for the counseling session. These may be based on the minor's personal needs or any specific concerns that have been identified.
05
Document the major issues or areas of focus for the counseling session. This could include problems at school, difficulties with peers, family conflicts, or behavioral concerns.
06
Outline the strategies or interventions that will be used to address these issues. This may include individual counseling techniques, group therapy, family involvement, or referrals to outside resources.
07
Make note of any progress or changes that occur throughout the counseling process. This allows for ongoing assessment and adjustment of the counseling approach as needed.
08
Summarize the counseling session and provide recommendations or next steps for the minor and their family. This may include suggestions for further therapy sessions, educational resources, or additional support services that could be beneficial.
09
Finally, have the minor and their parent or guardian review and sign the counseling form to acknowledge their participation and understanding.
Who needs minor full circle counseling?
01
Minors who are experiencing emotional or behavioral difficulties that impact their daily functioning.
02
Minors who are struggling with issues such as anxiety, depression, low self-esteem, anger management, or trauma.
03
Minors who are facing academic challenges, social struggles, or difficulties with family relationships.
04
Minors who may benefit from additional support or interventions to help them cope with stressors or develop healthy coping mechanisms.
05
Minors who have experienced a significant life event or loss and may require assistance in processing their emotions and adjusting to the changes.
06
Minors who may be exhibiting signs of substance abuse, self-harm, or other high-risk behaviors that require professional intervention.
07
Minors who have been referred for counseling by parents, teachers, school counselors, or other professionals who have identified concerns regarding their well-being.
08
Minors who may benefit from a safe and supportive space to discuss their thoughts, feelings, and concerns with a trained counselor who specializes in working with children and adolescents.
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