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CONFIDENTIAL
Counseling FormBETHANY CHURCH
BIBLICAL GUIDANCE COUNSELINGDATE: ___
NAME: ___
ADDRESS: ___ #___
CITY: ___ ZIP: ___
PHONE: ___AGE: ___EMAIL: ___
Marital Status: __Single [never married]
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01
Begin by entering your personal information such as name, address, and contact details.
02
Fill out any sections relating to your background and relevant medical history.
03
Answer the questions regarding your current mental health concerns or reasons for seeking counseling.
04
Provide information about any medications you may be taking or therapy sessions you have attended previously.
05
Sign and date the form where required, acknowledging that the information provided is accurate and complete.
Who needs counseling form - for?
01
Individuals who are seeking mental health support or guidance.
02
People who are experiencing emotional distress or psychological issues.
03
Individuals who are looking to improve their overall well-being and mental health.
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What is counseling form - for?
Counseling form is used to document discussions between a counselor and an individual about specific topics such as academic performance or personal issues.
Who is required to file counseling form - for?
Students, employees, or clients who receive counseling services are required to file counseling form.
How to fill out counseling form - for?
To fill out counseling form, individuals must provide their personal information, the date of the counseling session, the topics discussed, and any action plans decided upon.
What is the purpose of counseling form - for?
The purpose of counseling form is to track counseling sessions, monitor progress, and ensure that necessary actions are taken to address issues.
What information must be reported on counseling form - for?
Information such as personal details, counseling session date, topics discussed, action plans, and signatures of both the counselor and the individual must be reported on counseling form.
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