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CLIENT INTAKE FORM Lena Embry, LCSW, LLC 406 South 1st Street Camp Verde, Arizona 86322 9282985100 lena@lenaembry.com Date of rst appointment: Please take your time in providing the following information.
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Step 1: Gather all necessary information from the client, such as their personal details, medical history, and reason for seeking therapy or consultation.
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Client forms for therapy and consultation are documents used to collect essential information from clients seeking therapeutic services, including their background, personal history, and the nature of the issues they wish to address.
Individuals seeking therapy or consultation services are required to file client forms to facilitate the therapeutic process and ensure that therapists have the necessary information to provide appropriate care.
Client forms should be filled out completely and accurately, providing personal information, medical history, current issues, and any relevant details that can help the therapist understand the client's needs.
The purpose of client forms is to gather vital information that enables the therapist to assess the client's situation, create a tailored treatment plan, and track progress over time.
Essential information includes client personal details, medical history, psychological evaluations, reasons for seeking therapy, and any relevant social factors that may impact treatment.
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