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Behavioral Health Center, LLC.Intake FormDate: ___Name: ___ Date of Birth: ___ Age: ___Grade: ___ Gender: ___Race: ___ Marital Status: ___ Ethnicity: ___Medicaid No.: ___ Social Sec. No.: ___Primary
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UIW Counseling Services Intake is a process for new clients to provide necessary information for assessment and support in accessing counseling services at the University of the Incarnate Word.
All new clients seeking counseling services at UIW are required to complete the counseling services intake form.
To fill out the UIW counseling services intake, users must complete the provided form with personal information, medical history, and any relevant concerns or issues they wish to discuss.
The purpose of the UIW counseling services intake is to gather essential information to better understand the client's needs, facilitate appropriate counselor assignment, and develop a tailored therapeutic plan.
The information that must be reported includes personal details, mental health history, presenting issues, and any relevant medical or psychological background.
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