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Medicine Dance Counseling, LLC Leslie Fleming, MA LMHCAPg 1NEW CLIENT INTAKE FORMDate:Full Name:Social Security Number:Preferred name:Date of Birth:Age:Race:Gender Identity:Sexual Orientation:CONTACT
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How to fill out medicine dance counseling

01
Start by gathering all the necessary information and documents for the counseling session.
02
Begin by filling out the personal information section, which includes your full name, contact details, and any relevant medical history.
03
Move on to the medication section, where you should list all the medications you are currently taking, including the dosage and frequency.
04
If you have any specific concerns or questions relating to your medication, make sure to note them down in the corresponding section.
05
Next, provide details about your healthcare provider, including their name, contact information, and any additional notes you may have.
06
Lastly, review the completed form for accuracy and make any necessary revisions before submitting it for counseling.
07
It is important to attend the counseling session in person or remotely as directed by your healthcare provider to discuss the filled-out form and receive further guidance.

Who needs medicine dance counseling?

01
Medicine dance counseling is beneficial for individuals who are undergoing medical treatment and require guidance and support regarding their medication.
02
People who have recently started a new medication or are experiencing difficulty in adhering to their prescribed regimen can benefit from medicine dance counseling.
03
Individuals with chronic illnesses, complex medication regimens, or multiple healthcare providers may find medicine dance counseling helpful in managing their treatment effectively.
04
Those who have questions or concerns about potential drug interactions, dosage adjustments, side effects, or alternative treatment options might also benefit from this form of counseling.
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Medicine dance counseling is a therapeutic approach that combines elements of dance and movement with counseling techniques to promote healing and emotional expression.
Individuals participating in specific therapeutic or clinical settings that utilize medicine dance counseling may be required to file documentation of their sessions for record-keeping and assessment purposes.
To fill out medicine dance counseling, participants must provide personal information, details of the dance sessions, observations made during the sessions, and any therapeutic goals set.
The purpose of medicine dance counseling is to facilitate emotional healing, enhance self-awareness, and improve mental health through the expressive movement of dance.
Information that must be reported includes participant details, session dates, therapeutic objectives, techniques used, and reflections on the participant's emotional and physical responses.
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