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Safe Spaced Healing1189 South Perry Street, Suite 140, Castle Rock, Colorado, 80104 * 7202303076COUNSELING INTAKE FORM ADOLESCENT (1317 years old)encourage Counseling, LLC asks that you complete this
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How to fill out intake form adolescent lpc

01
Begin by downloading the intake form for adolescent LPC from the official website.
02
Read the instructions and guidelines provided with the form carefully before filling it out.
03
Fill in the personal details of the adolescent, such as their name, date of birth, gender, and contact information.
04
Provide information about the guardian or parent of the adolescent, including their name, relationship, and contact details.
05
Answer the questions regarding the adolescent's medical history, including any past or current illnesses, medications, and allergies.
06
Fill out the sections related to the adolescent's emotional and mental well-being, including any counseling or therapy received in the past.
07
Provide information about the adolescent's educational background and any special needs or accommodations required at school.
08
Answer the questions related to the adolescent's social history, including their relationships, hobbies, and social activities.
09
If applicable, fill in the section about any legal or custody issues concerning the adolescent.
10
Review the filled form for accuracy and completeness before submitting it to the appropriate authority or therapist.

Who needs intake form adolescent lpc?

01
Adolescents who are seeking services from a licensed professional counselor (LPC) are required to fill out the intake form.
02
This form is typically needed by individuals aged between 13 and 18 years old who are in need of counseling or therapy.
03
The intake form helps the LPC gather important information about the adolescent's background, history, and current concerns to provide appropriate assistance.
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The intake form adolescent LPC (Licensed Professional Counselor) is a document used by counselors to gather essential information from adolescent clients at the beginning of the therapeutic process.
Adolescents seeking counseling services from a Licensed Professional Counselor are required to complete the intake form.
The intake form should be filled out by the adolescent, often with the support of a parent or guardian, by providing personal and medical history, current issues, and demographic information as required by the form.
The purpose of the intake form is to collect necessary background information to help counselors understand the adolescent's needs and to tailor the therapeutic approach.
The form typically requires personal identification details, medical and psychological history, current behaviors, family dynamics, and specific concerns or issues the adolescent is facing.
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