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The PSYCH Group, LLC Psychological Services for Your Continual Health www.psychgroupllc.com Client Information Form Date: I. BASIC INFORMATION: Clients Name: Age: Date of Birth: Driver's License #:
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To fill out the form for Psych Group LLC, follow these steps:
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Start by gathering all the necessary information, such as your personal details, contact information, and any relevant medical records or history.
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Read the instructions on the form carefully to understand the requirements and specific sections that need to be filled out.
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Begin by providing your full name, date of birth, and current address in the designated sections.
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Move on to the next sections where you may be asked to provide information about your current mental health status, previous therapy or counseling experience, and any medications you may be currently taking.
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