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Adamic Counseling and Wellness Intake Information Child or Adolescent Today's date: Basic Information: Last Name: First Name: Name you would like to be referred to by: Sex: M/F Date of birth: Age:
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Adamcik Counseling and Wellness is a mental health and wellness service that provides counseling, therapy, and support for individuals seeking help with emotional and psychological challenges.
Individuals seeking mental health services from Adamcik Counseling and Wellness may be required to complete certain intake forms and documentation as part of their treatment process.
Filling out the forms for Adamcik Counseling and Wellness typically involves providing personal information, details about your mental health history, and your current concerns. It's advisable to follow the provided instructions carefully or consult with an administrator if needed.
The purpose of Adamcik Counseling and Wellness is to support individuals in achieving better mental health, providing therapeutic resources, and fostering overall wellness through professional counseling.
Information that must be reported may include personal identification details, referral sources, mental health history, current symptoms, and any ongoing treatment or medications.
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