Get the free Couple Intake Form

Couple Intake Form Wendy E. Smith, MA, MHC 18 W. Mercer St., Seattle, WA 98119 (206) 9658749 www.wendysmithcounseling.com Today's date: Name: Date of birth: Age: Address: Phone: Occupation: Education:

How to fill out couple intake form

How to fill out couple intake form

1. Start by gathering all the necessary information about the couple, such as their names, contact information, and marital status.
2. Include a section for the couple to provide details about their relationship history, including how long they have been together and any previous marriages or divorces.
3. Ask about the couple's current living arrangements and if they have any shared assets or financial responsibilities.
4. Include a section for the couple to provide information about their goals and expectations for counseling or therapy.
5. Ask about any specific issues or concerns the couple would like to address during the intake process.
6. Include a section for the couple to disclose any relevant medical or mental health information that may impact their therapy.
7. Finally, make sure to include a consent form for the couple to sign, acknowledging that they understand the purpose and limitations of therapy and counseling.
8. Review the completed form with the couple during their first session to ensure all the information is accurate and address any questions or concerns.

Who needs couple intake form?

1. Couple intake forms are typically used by therapists, counselors, or marriage and family therapists who work with couples.
2. These forms are necessary to gather important information about the couple's background, goals, and concerns before beginning therapy.
3. Anyone who is seeking counseling or therapy services as a couple may need to fill out a couple intake form.

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What is couple intake form?

Couple intake form is a document used to gather information from couples who are seeking assistance or counseling.

Who is required to file couple intake form?

Couples who are seeking assistance or counseling are required to file couple intake form.

How to fill out couple intake form?

Couple intake form can be filled out by providing all the requested information in the designated sections.

What is the purpose of couple intake form?

The purpose of couple intake form is to gather relevant information about the couple and their needs in order to provide appropriate assistance or counseling.

What information must be reported on couple intake form?

Couple intake form typically requires information such as names, contact information, relationship status, issues or concerns, and goals for seeking assistance.