Form preview

Get the free Counseling Intake Packet

Get Form
MOSAIC THERAPY Carl H. Rose, Ph.D. And Associates 9250 Columbia Ave. Suite F2 Munster, IN 46321 21920107113384 Woods Edge Circle Suite 104 Bonita Springs, FL 34134 2392495292 INTAKE INFORMATIONClients
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign counseling intake packet

Edit
Edit your counseling intake packet form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your counseling intake packet form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit counseling intake packet online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
Follow the steps down below to take advantage of the professional PDF editor:
1
Set up an account. If you are a new user, click Start Free Trial and establish a profile.
2
Prepare a file. Use the Add New button to start a new project. Then, using your device, upload your file to the system by importing it from internal mail, the cloud, or adding its URL.
3
Edit counseling intake packet. Add and change text, add new objects, move pages, add watermarks and page numbers, and more. Then click Done when you're done editing and go to the Documents tab to merge or split the file. If you want to lock or unlock the file, click the lock or unlock button.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
With pdfFiller, dealing with documents is always straightforward. Try it now!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out counseling intake packet

Illustration

How to fill out counseling intake packet

01
To fill out a counseling intake packet, follow these steps:
02
Start by reading the instructions provided in the packet carefully.
03
Fill in your personal information such as your name, address, contact number, and date of birth.
04
Answer any demographic or background questions accurately. These might include questions about your gender, race, or marital status.
05
Provide details about your medical history, including any pre-existing conditions, medications you are currently taking, and any allergies.
06
Answer questions about your current mental health concerns and symptoms you are experiencing.
07
If applicable, provide information about your previous counseling experience, including the name of the counselor and the duration of therapy.
08
Complete any additional questionnaires or assessments provided in the packet.
09
Review your responses to ensure accuracy and make any necessary corrections.
10
Sign and date the intake packet, indicating your consent to share the information provided with your counselor.
11
Submit the completed counseling intake packet to the appropriate person or organization as instructed.

Who needs counseling intake packet?

01
Anyone seeking counseling services may need to fill out a counseling intake packet. This can include individuals seeking therapy for various mental health concerns such as depression, anxiety, relationship issues, grief, or trauma. Additionally, people who are new to counseling or have never received counseling services before may also be asked to fill out an intake packet to provide necessary information to the counselor or therapy center.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.4
Satisfied
36 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

counseling intake packet and other documents can be changed, filled out, and signed right in your Gmail inbox. You can use pdfFiller's add-on to do this, as well as other things. When you go to Google Workspace, you can find pdfFiller for Gmail. You should use the time you spend dealing with your documents and eSignatures for more important things, like going to the gym or going to the dentist.
counseling intake packet can be edited, filled out, and signed with the pdfFiller Google Chrome Extension. You can open the editor right from a Google search page with just one click. Fillable documents can be done on any web-connected device without leaving Chrome.
Create, modify, and share counseling intake packet using the pdfFiller iOS app. Easy to install from the Apple Store. You may sign up for a free trial and then purchase a membership.
Counseling intake packet is a collection of forms and documents that need to be completed by new clients before beginning counseling sessions.
New clients seeking counseling services are required to file counseling intake packet.
Clients need to carefully read and complete all forms included in the counseling intake packet, providing accurate and honest information.
The purpose of counseling intake packet is to gather necessary information about the client's background, mental health history, and goals for counseling.
Information such as personal details, medical history, current concerns, and emergency contacts must be reported on counseling intake packet.
Fill out your counseling intake packet online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.