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Counselling Service Intake Former an Appointment:02 6626 9300 Gilmore/Gold Coast0266593262 Coffs Harbour or counselling SCU.edu.auTheinformationyouprovidehereisentirelyatyourdiscretion. Thepurposeofrequestingthis
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01
Start by gathering all necessary information such as personal details, contact information, and emergency contact.
02
Read the instructions provided on the form carefully before you begin filling it out.
03
Begin by providing your full name, date of birth, and gender.
04
Fill in your current address, email address, and phone number.
05
Provide information about your marital status, including whether you are married, single, divorced, or widowed.
06
Answer questions related to your medical history, including any pre-existing conditions or allergies.
07
Indicate whether you have any history of mental health issues or have received previous counseling.
08
Answer questions related to your current employment status and educational background.
09
Provide details about your reason for seeking counseling and any specific issues you would like to address during therapy.
10
Sign and date the form to acknowledge that the information provided is accurate and complete.

Who needs counselling intake form counselling?

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Anyone who is seeking counseling services can benefit from filling out a counseling intake form. This form helps therapists gather essential information about their clients before the initial session. It is useful for individuals with mental health concerns, emotional difficulties, relationship issues, or any other personal struggles they wish to address through counseling.
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Counselling intake form is a document that collects information about a client before they begin counselling sessions.
Clients who wish to start counselling sessions are required to fill out the counselling intake form.
Clients can fill out the counselling intake form by providing accurate and detailed information about their personal background and reasons for seeking counselling.
The purpose of the counselling intake form is to help the counsellor understand the client's background, issues, and goals, in order to provide effective counselling services.
Information such as personal details, medical history, mental health concerns, goals for counselling, and any previous counselling experiences may be reported on the intake form.
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