Form preview

Get the free Counseling Intake Form - bBillb bJacobsb bLPCCb

Get Form
8625 Golf Course Road NW Suite B3 Albuquerque, NM 87114 5053790810 voice 5202030179 fax bill billjacobslpcc.com ! Clinical Mental Health Counselor Counseling Intake Form Please note that all ends
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign counseling intake form

Edit
Edit your counseling intake form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your counseling intake form form via URL. You can also download, print, or export forms to your preferred cloud storage service.

Editing counseling intake form online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Use the instructions below to start using our professional PDF editor:
1
Log in. Click Start Free Trial and create a profile if necessary.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit counseling intake form. Add and replace text, insert new objects, rearrange pages, add watermarks and page numbers, and more. Click Done when you are finished editing and go to the Documents tab to merge, split, lock or unlock the file.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
With pdfFiller, it's always easy to work with documents.

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out counseling intake form

Illustration

How to fill out a counseling intake form:

01
Start by carefully reading the instructions provided on the form. Make sure you understand what information is required and how to answer each question.
02
Begin by providing your personal information, such as your full name, date of birth, address, and contact details. This is important for the counselor to be able to reach out to you if needed.
03
Next, fill out any demographic information requested, such as your gender, ethnicity, and marital status. These details can help the counselor gain a better understanding of your background.
04
Move on to the section where you will be asked about your presenting issues or reasons for seeking counseling. Be as specific as possible in describing your concerns, symptoms, or challenges that led you to seek counseling.
05
Some intake forms may include questions about your medical history, current medications, and any previous counseling or mental health treatment you have received. Answer these questions honestly and provide any relevant details that could impact your counseling process.
06
If you have any preferences or specific goals for counseling, make sure to mention them in the appropriate section. This will help the counselor tailor their approach to meet your needs.
07
Lastly, review your answers and make sure all the necessary sections have been completed. Sign and date the form as required.
08
Who needs a counseling intake form? Individuals who are seeking counseling services for the first time or transitioning to a new therapist may be required to fill out a counseling intake form. This form helps the counselor gather important information about the client's background, presenting issues, and goals for therapy. It ensures that the counselor has a comprehensive understanding of the client's needs and can provide appropriate care.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
53 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

counseling intake form can be edited, filled out, and signed with the pdfFiller Google Chrome Extension. You can open the editor right from a Google search page with just one click. Fillable documents can be done on any web-connected device without leaving Chrome.
Use pdfFiller's Gmail add-on to upload, type, or draw a signature. Your counseling intake form and other papers may be signed using pdfFiller. Register for a free account to preserve signed papers and signatures.
Complete counseling intake form and other documents on your Android device with the pdfFiller app. The software allows you to modify information, eSign, annotate, and share files. You may view your papers from anywhere with an internet connection.
The counseling intake form is a document used to collect essential information about a client before starting counseling sessions.
Clients who are seeking counseling services are required to fill out the counseling intake form.
Clients can typically fill out the counseling intake form by providing personal information, medical history, reason for seeking counseling, and other relevant details.
The purpose of the counseling intake form is to gather important information about the client's background, reasons for seeking counseling, and any relevant medical or psychological history.
Information such as personal details, medical history, current mental health concerns, and reasons for seeking counseling must be reported on the counseling intake form.
Fill out your counseling intake form online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.