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Trauma Informed Therapies, LLC A Refuge: Trauma Informed Therapies Consent for Telehealth Services I consent to engaging in telehealth as part of my treatment. I understand that telehealth includes
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01
Start by reading the instructions on the intake form carefully.
02
Write your personal information such as your name, date of birth, and contact information in the designated fields.
03
Provide any relevant medical history or previous trauma experiences you may have had.
04
Answer the questions regarding your current symptoms, emotions, and any specific triggers or events related to trauma.
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If there are any sections that you are unsure about or uncomfortable answering, it is okay to leave them blank or ask for assistance.
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Review your completed intake form for any missing or incomplete information before submitting it.

Who needs intake forms - trauma?

01
Intake forms for trauma are typically needed by individuals who have experienced or are seeking help for trauma-related issues.
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This may include individuals who have experienced traumatic events such as accidents, abuse, violence, natural disasters, or other distressing experiences.
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Intake forms help gather necessary information for therapists, counselors, or healthcare professionals to understand the individual's trauma history and provide appropriate support or treatment.
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Intake forms - trauma are forms used to collect information about traumatic experiences and their impact on individuals.
Individuals who have experienced trauma and are seeking support or treatment are required to file intake forms - trauma.
Intake forms - trauma can be filled out by providing detailed information about the traumatic event, its effects, and any relevant personal information.
The purpose of intake forms - trauma is to assess the impact of traumatic experiences on individuals and determine appropriate intervention or treatment.
Intake forms - trauma typically require information about the traumatic event, symptoms experienced, personal history, and any current treatment or support being received.
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