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Jamie Betroth, MA, MHC, CST 2319 N 45th St #209 Seattle WA 98103 www.jamieabenroth.comCOUPLES COUNSELING INTAKE SUPPLEMENT Each of you will fill out your own supplement, thank you! Name Date Please
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To fill out the couples counseling intake supplementdoc, follow these steps:
02
Start by opening the couples counseling intake supplementdoc form.
03
Fill out the basic information section, including the names of both individuals seeking counseling, contact information, and any relevant identification details.
04
Answer the questions regarding the reason for seeking couples counseling. Be thorough and specific in your responses.
05
Provide a brief history of the relationship, including how long you have been together, any previous counseling experiences, and any significant events or challenges.
06
Complete the sections regarding previous medical and mental health history. Be honest and accurate in your responses.
07
Answer the questions relating to your expectations and goals for couples counseling. This will help the counselor in understanding your specific needs and desired outcomes.
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Finally, review the completed form to ensure all sections have been filled out correctly and completely. Make any necessary revisions before submitting it to your counselor.

Who needs couples counseling intake supplementdoc?

01
Couples who are seeking counseling and wish to provide comprehensive information about their relationship and personal history can benefit from completing the couples counseling intake supplementdoc. This form helps the counselor gather relevant background information, understand the specific challenges and goals of the couple, and tailor the therapy accordingly. It is useful for couples who want to ensure a more personalized and effective counseling experience.
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The couples counseling intake supplement document is a form used by therapists to gather essential information about a couple's relationship and individual backgrounds before commencing counseling sessions.
Couples seeking counseling services from a licensed therapist or counselor are typically required to fill out the couples counseling intake supplement document.
To fill out the couples counseling intake supplement document, couples should provide accurate personal information, relationship history, presenting issues, and any relevant medical or psychological history as prompted by the form.
The purpose of the couples counseling intake supplement document is to help therapists understand the dynamics of the couple's relationship and identify areas that may require attention or intervention during counseling.
The information that must be reported on the couples counseling intake supplement document includes names, contact information, relationship history, reasons for seeking counseling, individual psychological or medical histories, and any previous counseling experiences.
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