Get the free Minor Counseling Intake Form - cchchouston.org
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7001 Corporate Dr., Suite 379, Houston, TX 77036Phone: 7132708660 Web: www.cchchouston.orgCounseling Agreement Referral Policy/Disclaimer / Clients will be referred outside HCS when treatment required
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How to fill out minor counseling intake form
How to fill out minor counseling intake form
01
Start by downloading the minor counseling intake form from the official website or requesting it from the counseling center.
02
Read the instructions provided on the form carefully to understand the information needed.
03
Begin by providing the minor's personal details, including their full name, date of birth, and contact information.
04
Fill in the section asking for the parent or guardian's information, including their name and contact details.
05
Answer the questions related to the minor's medical history, including any previous counseling or therapy.
06
Provide information about the reason for seeking counseling and any specific concerns or issues the minor is facing.
07
If applicable, fill in any additional details or special requests regarding the counseling sessions.
08
Sign and date the form, indicating your consent to the counseling services for the minor.
09
Finally, submit the completed form to the counseling center either in person, by mail, or through the designated online submission portal.
Who needs minor counseling intake form?
01
The minor counseling intake form is needed by minors who are seeking counseling services. This form ensures that the counselor has all the necessary information about the minor, their medical history, and their specific concerns or issues. It is usually required for minors who are below the age of consent and need parental or guardian consent for counseling services.
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What is minor counseling intake form?
The minor counseling intake form is a document used to gather information about a minor seeking counseling services.
Who is required to file minor counseling intake form?
Parents or legal guardians of minors are required to file the minor counseling intake form.
How to fill out minor counseling intake form?
The minor counseling intake form can be filled out by providing personal information about the minor, reason for seeking counseling, medical history, and contact information.
What is the purpose of minor counseling intake form?
The purpose of the minor counseling intake form is to assess the needs of the minor and determine the appropriate counseling services.
What information must be reported on minor counseling intake form?
The minor counseling intake form must include personal information, reason for seeking counseling, medical history, and contact information.
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