Get the free Counselling Referral Form - LAUStudent Life - students lau edu
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DEAN OF STUDENTS COUNSELLING REFERRAL FORM
To:Counselling Officiate:
DayMonthYearPERSONAL INFORMATION
Full Name:
First Name
Student ID:Middle NameFamily Name LAU Email:Degree:Mobile No.:
Major/Emphasis:OBSERVATIONAL
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How to fill out counselling referral form
How to fill out counselling referral form
01
To fill out a counselling referral form, follow these steps:
02
Start by providing your personal information, including your name, contact details, and date of birth.
03
Next, indicate the reason for seeking counselling and any specific issues or concerns you would like to address.
04
Provide information about your current mental health status, such as any diagnosed conditions or medications you are currently taking.
05
Mention any previous counselling or therapy experiences you have had, including the dates and the name of the therapist or counselor.
06
If applicable, provide details about any recent traumatic events or crises that may have prompted your decision to seek counselling.
07
Indicate your availability and preferences for scheduling counselling sessions.
08
Finally, review the completed form for accuracy and completeness before submitting it to the appropriate party.
Who needs counselling referral form?
01
Anyone who feels they could benefit from professional counselling can fill out a counselling referral form.
02
This may include individuals experiencing mental health challenges, emotional distress, relationship issues, grief or loss, trauma, or simply seeking personal growth and self-improvement.
03
Counselling referral forms can be used by individuals of all ages, from children and adolescents to adults and seniors.
04
Both those who have never sought counselling before and those who have had previous counselling experiences can benefit from using a counselling referral form to initiate the process.
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