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COUPLE INTAKE FORM CONFIDENTIAL INFORMATION FOR THE RECORDS OF: CATHERINE G. HAWTHORNE Ph.D. CLINICAL PSYCHOLOGISTDATE: A. GENERAL ADULT PATIENTS NAMES:: ADDRESS: TEL. # (WORK)(HOME)OK TO LEAVE MESSAGE
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How to fill out couples intake form for

01
Start by downloading the couples intake form from the official website.
02
Open the form in a PDF reader or editor, such as Adobe Acrobat.
03
Read the instructions carefully to understand what information is required.
04
Begin by filling out the personal details section for both individuals.
05
Provide accurate contact information, including phone numbers and email addresses.
06
Move on to the relationship history section and answer the questions honestly and thoroughly.
07
If applicable, include any relevant information about previous therapy or counseling.
08
Fill out the current issues and goals section, describing the main concerns and objectives for seeking therapy.
09
Complete any other sections or questions specific to the couples intake form.
10
Review the filled form to ensure all information is accurate and complete.
11
Save a copy of the filled form for your records, if desired.
12
Submit the completed couples intake form as instructed, either electronically or by hand-delivering it to the respective therapy center.
13
Follow up with the therapy center to confirm successful submission and inquire about any additional steps.

Who needs couples intake form for?

01
Couples intake form is needed by couples who are seeking therapy or counseling services to address relationship issues or enhance their partnership.
02
It is typically required by therapy centers or therapists as part of their initial assessment process.
03
The form helps gather essential information about the couple's background, relationship history, current challenges, and therapeutic goals.
04
By filling out the couples intake form, couples can provide a comprehensive overview of their situation, ensuring that the therapy or counseling process is tailored to their specific needs and concerns.
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The couples intake form is used to gather necessary information about a couple's relationship, financial status, and any relevant history, typically for counseling or therapy purposes.
Couples seeking counseling, therapy, or legal assistance related to their relationship are typically required to fill out a couples intake form.
To fill out a couples intake form, each partner should provide accurate personal details, answer questions about their relationship dynamics, communication styles, and any specific issues they wish to address.
The purpose of the couples intake form is to assess the couple's relationship needs, identify areas for improvement, and help professionals tailor their approach to the couple's specific circumstances.
Information required on a couples intake form typically includes names, contact details, relationship history, reasons for seeking help, and any relevant medical or psychological history.
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