Get the free Common Ground General Intake Form with Cancellation Policy - commongroundcville

CLIENT INTAKE FORM Please note: The information we request is for use in providing demographic information for grant proposal and reporting purposes. It will never be used in connection with your

How to fill out common ground general intake

How to fill out Common Ground General Intake:

1. Visit the Common Ground website or office to obtain the General Intake form.
2. Provide your personal information, such as your name, address, phone number, and email.
3. Fill in any additional contact information, such as an alternate phone number or emergency contact.
4. Indicate your preferred method of communication, whether it is by phone, email, or in person.
5. Provide details about your current situation or reason for seeking assistance from Common Ground.
6. Include any relevant information about your background, including previous counseling or mental health history.
7. If applicable, provide information about any current medications you are taking or any allergies you have.
8. Specify any preferences you may have for your support services, such as preferred gender of your counselor or any specific accommodations you may require.
9. If you have any specific concerns or goals you would like to address, clearly articulate them in the form.
10. Review the form to ensure all information provided is accurate and complete.
11. Sign and date the form to acknowledge your consent to share the information with Common Ground.

Who needs Common Ground General Intake:

1. Individuals seeking counseling or support services for mental health issues.
2. Those facing difficult life circumstances and in need of assistance and guidance.
3. People experiencing emotional distress and seeking help in finding effective coping strategies.
4. Individuals who require referrals to specialized services or resources.
5. Anyone looking for a safe and confidential space to discuss their concerns and explore potential solutions.
6. People who prefer a non-judgmental and compassionate approach to their mental health or personal issues.

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